Organization Active NPI

Intl Alf LLC Dba Venice Green Village

  • Assisted Living Facility
  • Venice, FL
National Provider Identifier
1992141659
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL7804 Issued in FL
Legal business name
INTL ALF LLC DBA VENICE GREEN VILLAGE
Practice address
2745 E Venice Ave
Venice, FL 34292-2425
Phone
(941) 488-5970
Fax
(941) 485-4187
NPI assigned
May 21, 2013
Last updated
May 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2018

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

Authorized official

Name
Rogerio Laurenzio, CFO, OWNER, HQA
Title
Cfo
Phone
(786) 233-8368

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL7804 FL Primary

Addresses

Primary practice location

2745 E Venice Ave
Venice, FL 34292-2425

Mailing address

2745 E Venice Ave
Venice, FL 34292-2425
Phone (941) 488-5970

Other names 1

  • Gulf Winds Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Gulf Winds2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526428800000",
    "number": "1992141659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2745 E VENICE AVE",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342922425",
            "telephone_number": "941-488-5970",
            "fax_number": "941-485-4187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2745 E VENICE AVE",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342922425",
            "telephone_number": "941-488-5970",
            "fax_number": "941-485-4187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTL ALF LLC DBA VENICE GREEN VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-21",
        "last_updated": "2018-05-16",
        "status": "A",
        "authorized_official_last_name": "LAURENZIO",
        "authorized_official_first_name": "ROGERIO",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "786-233-8368",
        "authorized_official_credential": "CFO, OWNER, HQA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL7804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulf Winds",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; 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.