GRAND VILLA OF ORMOND BEACH
NPI 1326381609
Assisted Living Facility in Ormond Beach, FL

Q: What is Gv-Ormond, LLC's NPI number?

The NPI number for Gv-Ormond, LLC is 1326381609. It was assigned to this organization in the NPPES registry on April 4, 2013. The provider is doing business as Grand Villa Of Ormond Beach.

Q: What is Gv-Ormond, 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 Gv-Ormond, LLC was last updated on April 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 April 04, 2013CLIA 10D2185641 · Waiver

535 N NOVA RD, ORMOND BEACH, FL 32174(386) 673-5000(386) 673-0168 Get Directions Write a Review

NPPES record last updated: April 4, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Grand Villa Of Ormond Beach NPPES

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

GRAND VILLA OF ORMOND BEACH (NPI 1326381609) is a healthcare organization registered as an assisted living facility in Ormond Beach, Florida and active in the NPI registry since April 2013. The organization holds a CLIA Waiver certificate valid through June 5, 2028 and lists Dennis Forte, Manager, as its authorized official.

NPPES Registry Identity

NPI1326381609

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameGV-ORMOND, LLC

Location Address535 N NOVA RDOrmond Beach, FL 32174-4405

Mailing Address13770 58th St N, Suite 312Clearwater, FL 33760-3759 · (727) 726-3980 · Fax (727) 726-5345

Phone(386) 673-5000

Fax(386) 673-0168

Organization SubpartNo

Authorized OfficialDennis ForteManager · (727) 726-3980

Enumeration DateApril 4, 2013

✔ NPI 1326381609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in FL · AL7460

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.

535 N NOVA RD, Ormond Beach, FL 32174

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Other Names 1

Doing Business AsGrand Villa Of Ormond Beach

Other Identifiers 1

Medicaid000592000FL

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 10D2185641

Grand Villa Of Ormond Beach · Ormond Beach, FL

Active · expires Jun 5, 2028

CLIA Number10D2185641

Laboratory TypeAssisted Living Facility

Certificate Effective DateJune 6, 2026

Certificate Expiration DateJune 5, 2028

Laboratory DirectorLinda Houlihan

Laboratory Phone(386) 673-5000

Laboratory LocationGrand Villa Of Ormond Beach535 N Nova Rd, Ormond Beach, FL 32174

CLIA data matches this NPI record on: Address Name Phone

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

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. RACHAEL MARY WEIGHTMAN PTA

Physical Therapy Assistant