VILLA AT TERRACINA GRAND
NPI 1003204512
Assisted Living Facility in Naples, FL

Q: What is Terracina II, LLC's NPI number?

The NPI number for Terracina II, LLC is 1003204512. It was assigned to this organization in the NPPES registry on January 6, 2015. The provider is doing business as Villa At Terracina Grand.

Q: What is Terracina II, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Q: When was this NPI record last updated?

The NPPES record for Terracina II, LLC was last updated on January 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 06, 2015CLIA Certified · 2 labs

6855 DAVIS BLVD, NAPLES, FL 34104(952) 361-8000(952) 361-8060 Get Directions Write a Review

NPPES record last updated: January 6, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Villa At Terracina Grand NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VILLA AT TERRACINA GRAND (NPI 1003204512) is a healthcare organization registered as an assisted living facility in Naples, Florida and active in the NPI registry since January 2015. The organization holds 2 active CLIA laboratory certificates and lists John B Goodman, Chief Manager, as its authorized official.

NPPES Registry Identity

NPI1003204512

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameTERRACINA II, LLC

Location Address6855 DAVIS BLVDNaples, FL 34104-5320

Mailing Address1107 Hazeltine Blvd, Ste 200Chaska, MN 55318-1009 · (952) 361-8000 · Fax (952) 361-8060

Phone(952) 361-8000

Fax(952) 361-8060

Organization SubpartNo

Authorized OfficialJohn B GoodmanChief Manager · (952) 361-8000

Enumeration DateJanuary 6, 2015

✔ NPI 1003204512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

6855 DAVIS BLVD, Naples, FL 34104

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Other Names 1

Doing Business AsVilla At Terracina Grand

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2093188

Villa At Terracina Grand · Naples, FL

Active · expires Mar 22, 2027

CLIA Number10D2093188

Laboratory TypeAssisted Living Facility

Certificate Effective DateMarch 23, 2025

Certificate Expiration DateMarch 22, 2027

Laboratory DirectorSophia Wright

Laboratory Phone(239) 455-1459

Laboratory LocationVilla At Terracina Grand6855 Davis Blvd, Naples, FL 34101

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D0996700

Terracina LLC Dba Terracina Grand · Naples, FL

Active · expires Feb 24, 2028

CLIA Number10D0996700

Laboratory TypeOther

Certificate Effective DateFebruary 25, 2026

Certificate Expiration DateFebruary 24, 2028

Laboratory DirectorPradeep Muley

Laboratory Phone(952) 361-8000

Laboratory LocationTerracina LLC Dba Terracina Grand6825 Davis Blvd, Naples, FL 34104

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Terracina II, LLC's NPI number?

The NPI number for Terracina II, LLC is 1003204512. It was assigned to this organization in the NPPES registry on January 6, 2015. The provider is doing business as Villa At Terracina Grand.

Where is Terracina II, LLC located?

Terracina II, LLC is located at 6855 Davis Blvd, Naples, FL 34104. The listed phone number is (952) 361-8000.

What is Terracina II, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Terracina II, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Terracina II, LLC was last updated on January 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.