A Banyan Residence Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

APPLIED FOR IT Issued in FL

Legal business name

A BANYAN RESIDENCE ASSISTED LIVING LLC

Practice address

100 Base Ave E
Venice, FL 34285-3809

Phone

(941) 412-4748

NPI assigned

Aug 16, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Greg A Anderson

Title

Managing Member

Phone

(954) 454-2345

Specialties & licenses 1

Addresses

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• A Banyan Residence at Wildwood, LLC

  • Assisted Living Facility
  • Oxford, FL
  • NPI 1083201891
  NPPES parent name

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261008000000",
    "number": "1770775413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3107 NE 40TH CT",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333086413",
            "telephone_number": "954-454-2345",
            "fax_number": "954-457-8242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BASE AVE E",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342853809",
            "telephone_number": "941-412-4748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A BANYAN RESIDENCE ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-16",
        "last_updated": "2009-12-17",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "954-454-2345",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "APPLIED FOR IT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 1026 Albee Farm Road Operations LLC (Bay Breeze Health and Rehabilitation Center)
• 1240 Pinebrook Road LLC (Pinebrook Care and Rehabilitation Center)
• 200 Venice Operating LLC (Venice Center for Independent & Assisted Living)
• 65 Plus LLC (65 Plus Physical Therapy - Country Club Physical Therapy)
• A Caring Friend of Manasota Inc.
• A Little Help Nurse Registry, LLC
• A White Stone Healthcare
• A1 Imaging of Venice LLC (Horizon Venice)
• Aaron M Taylor DC, LLC

• Assisted Living Facility in Venice, FL
• Providers in Venice, 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 Dec 17, 2009; 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.