Grace Lyne Alf Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL11292 Issued in FL

Legal business name

GRACE LYNE ALF INC

Practice address

1305 Brandonwood Dr
Brandon, FL 33510-2604

Phone

(813) 315-8769

Fax

(813) 315-8770

NPI assigned

Jan 21, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Marie Delaleu

Title

President

Phone

(813) 315-8769

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1952549487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 BRANDONWOOD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335102604",
            "telephone_number": "813-315-8769",
            "fax_number": "813-315-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 BRANDONWOOD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335102604",
            "telephone_number": "813-315-8769",
            "fax_number": "813-315-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE LYNE ALF INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-21",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "DELALEU",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-315-8769",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmin Gosen, MD
• Holli Gotsis
• Zachary A Gottfried
• Umesh Linge Gowda, MD
• GPS Pharmacy-Tampa LLC
• Graceful Medical Supply Inc
• Jenna Graepel
• Heidi Graff, AA
• Shannon Graham, RD
• Philip Joseph Granchi, M.D.

• Assisted Living Facility in Brandon, FL
• Providers in Brandon, 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 21, 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.