WINTER GARDEN SENIOR LIVING, LLC
NPI 1053112722
Assisted Living Facility in Winter Garden, FL
About Winter Garden Senior Living, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WINTER GARDEN SENIOR LIVING, LLC (NPI 1053112722), doing business as Mission Grove At Stoneybrook, is a healthcare organization registered as an assisted living facility in Winter Garden, Florida and active in the NPI registry since March 2025. The organization holds a CLIA Waiver certificate valid through August 21, 2027 and lists Kris Peters, Director Of Business Office, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
CLIA Laboratory Certificates CMS CLIA
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 10D2329123
Winter Garden Senior Living LLC · Winter Garden, FLFrequently 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 Winter Garden Senior Living, LLC's NPI number?
The NPI number for Winter Garden Senior Living, LLC is 1053112722. It was assigned to this organization in the NPPES registry on March 20, 2025. The provider is doing business as Mission Grove at Stoneybrook.
Where is Winter Garden Senior Living, LLC located?
Winter Garden Senior Living, LLC is located at 12911 Stoneybrook W Pkwy, Winter Garden, FL 34787. The listed phone number is (689) 312-9028.
What is Winter Garden Senior Living, LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Winter Garden Senior Living, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2329123) is associated with this NPI, valid through August 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Winter Garden Senior Living, LLC was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.
# Winter Garden Senior Living, Llc · NPI 1053112722
Assisted Living Facility organization in Winter Garden, Florida. Organization record, active in the CMS NPPES registry since March 20, 2025.
## Identity
- **NPI:** 1053112722 (Entity type: Organization)
- **Enumerated:** March 20, 2025
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Also known as:** Mission Grove at Stoneybrook (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Kris Peters, DIRECTOR OF BUSINESS OFFICE
## Practice location
- **Address:** 12911 STONEYBROOK W PKWY, Winter Garden, FL 34787
- **Phone:** (689) 312-9028
## Record status
- **NPPES last updated:** March 20, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1053112722) · Data from the CMS NPPES public registry.