Gaia Grove, LLC.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GAIA GROVE, LLC.

Practice address

5378 Timberland Ave
Saint Cloud, FL 34771-0112

Phone

(407) 484-3663

NPI assigned

Oct 24, 2025

Organization subpart

No

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

Authorized official

Name

Olga T Galban, MHA

Title

Owner

Phone

(407) 484-3663

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1761264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1952279796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16750 ABBEY HILL CT",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5378 TIMBERLAND AVE",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347710112",
            "telephone_number": "407-484-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAIA GROVE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-24",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "GALBAN",
        "authorized_official_first_name": "OLGA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-484-3663",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ralfred G Fuentes
• Daniella Funes
• FWC Perinatal, LLC
• FWC Perinatal, LLC
• Theresa Adadzewa Fynn, MD
• Israel Galan Rosa
• Yamiris Galban Mendoza
• Waleska Galindez, MD
• Rukmini Gangapersaud, FNP
• Keishla Marie Garcia Fernandez, MD

• Assisted Living Facility in Saint Cloud, FL
• Providers in Saint Cloud, 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 Jan 20, 2026; 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.