Grand Villa Of Largo
Assisted Living Facility in Largo, FL. Organization (NPI-2).
NPI number1366919565
StatusActive
Last updated in NPPESOct 26, 2018
Details
- NPI
- 1366919565
- Entity type
- Organization (NPI-2)
- Legal business name
- Grand Villa Of Largo
- Organization subpart
- Yes
- Enumeration date
- Oct 26, 2018
- Last updated
- Oct 26, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | – | Yes |
Practice location
750 Starkey RdLargo, FL 33771-2365
Phone 727-215-8090
Mailing address
535 N Nova RdOrmond Beach, FL 32174-4405
Phone 404-888-0168
Authorized official
Stanley Brading
President
4048880168
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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