Active NPI
Grand Oaks of Palm City, LLC
- Assisted Living Facility
- Palm City, FL
National Provider Identifier
1679921456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- GRAND OAKS OF PALM CITY, LLC
- Practice address
- 3550 SW Corporate Pkwy
Palm City, FL 34990-8149 - Phone
- (772) 286-1844
- Fax
- (772) 286-8753
- NPI assigned
- Jun 2, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laurie H Allen
- Title
- Alf Administrator
- Phone
- (772) 444-3400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
3550 SW Corporate Pkwy
Palm City, FL 34990-8149
Mailing address
2400 SE Monterey Rd
Suite #300
Stuart, FL 34996-3351
Phone (772) 286-1844
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2113352 | Grand Oaks of Palm City LLC | Certificate of waiver | May 19, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464825600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1464825600000",
"number": "1679921456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 SE MONTEREY RD",
"address_2": "SUITE #300",
"city": "STUART",
"state": "FL",
"postal_code": "349963351",
"telephone_number": "772-286-1844",
"fax_number": "772-286-8753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3550 SW CORPORATE PKWY",
"city": "PALM CITY",
"state": "FL",
"postal_code": "349908149",
"telephone_number": "772-286-1844",
"fax_number": "772-286-8753"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRAND OAKS OF PALM CITY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-02",
"last_updated": "2016-06-02",
"status": "A",
"authorized_official_last_name": "ALLEN",
"authorized_official_first_name": "LAURIE",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "ALF ADMINISTRATOR",
"authorized_official_telephone_number": "772-444-3400"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.