Van-Leigh of Vero Beach, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL9844 Issued in FL

Legal business name

VAN-LEIGH OF VERO BEACH, LLC

Doing business as

Green Gables ALF

Practice address

1934 22ND Ave
Vero Beach, FL 32960-3084

Phone

(772) 794-1277

Fax

(772) 794-2488

NPI assigned

Jun 11, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Marvin James Van Benschoten

Title

Owner/Administrator

Phone

(772) 794-1277

Specialties & licenses 1

Addresses

Other names 1

• Green Gables ALF Doing business as

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370908800000",
    "number": "1952749053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 IRIS LN",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329631859",
            "telephone_number": "772-794-1277",
            "fax_number": "772-794-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1934 22ND AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329603084",
            "telephone_number": "772-794-1277",
            "fax_number": "772-794-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN-LEIGH OF VERO BEACH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-11",
        "last_updated": "2013-06-11",
        "status": "A",
        "authorized_official_last_name": "VAN BENSCHOTEN",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "772-794-1277",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL9844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Gables ALF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Curtis Valley, RPH
• Gary Van Arman
• Mary Virginia Van Arsdall, CNM
• Mary-Therese C Van Hollenbeck, MA.,BCBA
• Wakako Van Weezel
• Julie Sophia Vanags, PTA
• Logan Taylor Vander Woude, DO, MPH
• Jamie Varner
• Mary Frances Varsegi, M.D.
• Catalin Vasiliu

• Assisted Living Facility in Vero Beach, FL
• Providers in Vero Beach, 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 Jun 11, 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.