Organization Active NPI

M. Villard Inc

  • Assisted Living Facility
  • Palmetto, FL
National Provider Identifier
1750459186
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
M. VILLARD INC
Practice address
820 5TH St W
Palmetto, FL 34221-5018
Phone
(941) 722-2789
NPI assigned
Dec 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jacqueline Dorelien
Title
Owner
Phone
(941) 722-2789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

820 5TH St W
Palmetto, FL 34221-5018

Mailing address

820 5TH St W
Palmetto, FL 34221-5018
Phone (941) 722-2789

Other names 1

  • PALMETTO GUEST HOME,INC. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750459186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 5TH ST W",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342215018",
            "telephone_number": "941-722-2789",
            "fax_number": "941-722-8423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 5TH ST W",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342215018",
            "telephone_number": "941-722-2789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. VILLARD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DORELIEN",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-722-2789"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PALMETTO GUEST HOME,INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palmetto, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.