MAITLAND MC REAL ESTATE, LLC
NPI 1063170629
Assisted Living Facility in Maitland, FL

Q: What is Maitland Mc Real Estate, LLC's NPI number?

The NPI number for Maitland Mc Real Estate, LLC is 1063170629. It was assigned to this organization in the NPPES registry on December 1, 2021. The provider is doing business as Providence Living at Maitland.

Q: What is Maitland Mc Real Estate, LLC's specialty?

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

Active since December 01, 2021

701 N MAITLAND AVE, MAITLAND, FL 32751(407) 863-4020 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Maitland Mc Real Estate, Llc NPPES

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

MAITLAND MC REAL ESTATE, LLC (NPI 1063170629), doing business as Providence Living At Maitland, is a healthcare organization registered as an assisted living facility in Maitland, Florida and active in the NPI registry since December 2021. The organization lists Gary Iversen, Vice President Of Operations, as its authorized official.

NPPES Registry Identity

NPI1063170629

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameMAITLAND MC REAL ESTATE, LLC

Location Address701 N MAITLAND AVEMaitland, FL 32751-4408

Mailing Address701 N Maitland AveMaitland, FL 32751-4408 · (407) 863-4020

Phone(407) 863-4020

Organization SubpartYesParent: Providence Senior Living

Authorized OfficialGary IversenVice President Of Operations · (407) 863-4020

Enumeration DateDecember 1, 2021

NPPES CertifiedDecember 1, 2021

✔ NPI 1063170629 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.

701 N MAITLAND AVE, Maitland, FL 32751

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Other Names 1

Doing Business AsProvidence Living At Maitland

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 Maitland Mc Real Estate, LLC's NPI number?

The NPI number for Maitland Mc Real Estate, LLC is 1063170629. It was assigned to this organization in the NPPES registry on December 1, 2021. The provider is doing business as Providence Living at Maitland.

Where is Maitland Mc Real Estate, LLC located?

Maitland Mc Real Estate, LLC is located at 701 N Maitland Ave, Maitland, FL 32751. The listed phone number is (407) 863-4020.

What is Maitland Mc Real Estate, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Maitland Mc Real Estate, LLC was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.