Grand Court Alf LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL5464 Issued in FL

Legal business name

GRAND COURT ALF LLC

Practice address

295 SW 4TH Ave
Pompano Beach, FL 33060-6933

Phone

(954) 942-3388

Fax

(954) 942-8901

NPI assigned

Aug 27, 2013

Organization subpart

No

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

Authorized official

Name

Sandra Beer

Title

Operator

Phone

(718) 705-9304

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377561600000",
    "number": "1760816730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 SW 4TH AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330606933",
            "telephone_number": "954-942-3388",
            "fax_number": "954-942-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 SW 4TH AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330606933",
            "telephone_number": "954-942-3388",
            "fax_number": "954-942-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND COURT ALF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-27",
        "last_updated": "2013-08-27",
        "status": "A",
        "authorized_official_last_name": "BEER",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "OPERATOR",
        "authorized_official_telephone_number": "718-705-9304"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL5464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER LICENSE NUMBER",
            "identifier": "AL5464",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alicia Grace
• Courtney Graham
• Kelly Ann Graham, OT
• Megan Graham
• Ronald Granados, PHARMD
• Grand Court W Opco LLC
• Jill S Grant, MSW
• Nakeithia Grant
• Corinne Grasso
• Green Life Assisted Living Facility, LLC

• Assisted Living Facility in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; 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.