NPIMap

Organization Active NPI

QSH/Mid Florida, LLC

  • Assisted Living Facility
  • Ormond Beach, FL
National Provider Identifier
1831673680
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
QSH/MID FLORIDA, LLC
Doing business as
Grand Villa of Ormond Beach
Practice address
535 N Nova Rd
Ormond Beach, FL 32174-4405
Phone
(407) 260-2433
NPI assigned
Sep 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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

Authorized official

Name
Stanley Brading
Title
President
Phone
(404) 888-0168

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

535 N Nova Rd
Ormond Beach, FL 32174-4405

Mailing address

1201 W Peachtree St NW Ste 3250
Atlanta, GA 30309-3470
Phone (404) 888-0168

Other names 1

  • Grand Villa of Ormond Beach Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Grand Villa of Largo3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1201 W Peachtree St NW
Ste 3250
Atlanta, GA 30309

Ownership & related parties

Subparts reporting this organization as parent 2

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

NPI Registry JSON

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537228800000",
    "number": "1831673680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 W PEACHTREE ST NW STE 3250",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093470",
            "telephone_number": "404-888-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 N NOVA RD",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321744405",
            "telephone_number": "407-260-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QSH/MID FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-18",
        "last_updated": "2018-09-18",
        "status": "A",
        "authorized_official_last_name": "BRADING",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-888-0168"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Villa of Ormond Beach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.