Active NPI
Gainesville 4601 Al BG Opco LLC
- Assisted Living Facility
- Gainesville, FL
National Provider Identifier
1699222745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- GAINESVILLE 4601 AL BG OPCO LLC
- Practice address
- 4601 NW 53Rd Ave
Gainesville, FL 32653-4882 - Phone
- (352) 338-7500
- NPI assigned
- Sep 7, 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
- Peter Tarsney
- Title
- Authorized Signatory
- Phone
- (312) 725-7000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
4601 NW 53Rd Ave
Gainesville, FL 32653-4882
Mailing address
330 N Wabash Ave
Suite 3700
Chicago, IL 60611-3586
Phone (312) 725-7000
Other names 1
- Hunters Crossing Place - Assisted Living
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 |
|---|---|---|---|
| 10D0933694 | Hunter'S Crossing Place- Assisted Living | Certificate of waiver | Sep 17, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473206400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1474934400000",
"number": "1699222745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 N WABASH AVE",
"address_2": "SUITE 3700",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606113586",
"telephone_number": "312-725-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4601 NW 53RD AVE",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326534882",
"telephone_number": "352-338-7500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GAINESVILLE 4601 AL BG OPCO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-07",
"last_updated": "2016-09-27",
"status": "A",
"authorized_official_last_name": "TARSNEY",
"authorized_official_first_name": "PETER",
"authorized_official_title_or_position": "AUTHORIZED SIGNATORY",
"authorized_official_telephone_number": "312-725-7000"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Hunters Crossing Place - Assisted Living",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.