Organization Active NPI

Grand Oaks of Palm City, LLC

  • Assisted Living Facility
  • Palm City, FL
National Provider Identifier
1679921456
Registry record updated Jun 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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

Updated by the provider on Jun 2, 2016

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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2113352Grand Oaks of Palm City LLC3550 SW Corporate Pkwy, Palm City, FL 34990Certificate of waiverMay 19, 2028

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.