The Gardens at Montverde

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12341 Issued in FL

Legal business name

THE GARDENS AT MONTVERDE

Practice address

15425 County Road 455
Montverde, FL 34756-3757

Phone

(407) 947-5687

NPI assigned

Apr 10, 2013

Last updated

Apr 10, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelley Keoppen

Title

Owner

Phone

(407) 947-5687

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365552000000",
    "number": "1902249907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15425 COUNTY ROAD 455",
            "city": "MONTVERDE",
            "state": "FL",
            "postal_code": "347563757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15425 COUNTY ROAD 455",
            "city": "MONTVERDE",
            "state": "FL",
            "postal_code": "347563757",
            "telephone_number": "407-947-5687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GARDENS AT MONTVERDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-10",
        "last_updated": "2013-04-10",
        "status": "A",
        "authorized_official_last_name": "KEOPPEN",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-947-5687"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Plemons, RRT
• Jennifer Quinn
• Meghan M Reyes, MOT, OTR/L
• Deenzy Smith
• Joseph Sutorus II
• Transcend Performance and Lifestyle Institute
• Brenda Williams

• Assisted Living Facility in Montverde, FL
• Providers in Montverde, 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 Apr 10, 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.