Bishop Grady Villas
LBN: Bishop Grady Villas
Bishop Grady Villas is an health care organization with primary practice located at 401 Bishop Grady Ct , Saint Cloud FL 34769-1538. The organization recently has 3 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Nursing & Custodial Care Facilities / Assisted Living Facility, Transportation Services / Private Vehicle. Nursing & Custodial Care Facilities / Assisted Living Facility is the primary health care specialty.
Bishop Grady Villas can be contacted via phone (407) 892-6078, or through Johnson, Kevin Charles via phone (407) 892-6078.
Contact Information
Primary practice address
401 Bishop Grady Ct
Saint Cloud FL 34769-1538
Phone: (407) 892-6078
Fax: (407) 892-8081
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Day Training, Developmentally Disabled Services | 251C00000X | ||
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | AL10398 | Florida |
| Transportation Services / Private Vehicle | 347C00000X |
Profile Details
| NPI number | 1558545475 |
|---|---|
| LBN Legal business name | Bishop Grady Villas |
| DBA Doing business as | |
| Authorized official | Johnson, Kevin Charles |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 27th, 2007 |
| Last updated | Mar 1st, 2014 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558545475 | NPPES |
| Florida | MEDICAID | 692217196 | |
| Florida | MEDICAID | 692217198 | |
| Florida | MEDICAID | 142955800 |
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