GV Fort Pierce Opco LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GV FORT PIERCE OPCO LLC

Practice address

2909 S 25TH St
Fort Pierce, FL 34981-5610

Phone

(772) 466-1919

NPI assigned

Dec 29, 2022

Organization subpart

No

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

Authorized official

Name

Rogerio De Laurenzio

Title

Cfo

Phone

(352) 229-3263

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1672272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750377600000",
    "number": "1922711522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 S 25TH ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349815610",
            "telephone_number": "772-466-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 S 25TH ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349815610",
            "telephone_number": "772-466-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GV FORT PIERCE OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-29",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A",
        "authorized_official_last_name": "DE LAURENZIO",
        "authorized_official_first_name": "ROGERIO",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "352-229-3263"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115827500",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "yardione.com",
            "affiliation": "N",
            "endpointDescription": "Senior Housing Software",
            "address_1": "2909 S 25th St",
            "city": "Fort Pierce",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349815610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Assisted Living Facility in Fort Pierce, FL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; 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.