CLERMONT1818 OPCO, LLC - NPI 1629608013 - Assisted Living Facility in Clermont, FL

Q: What is the provider's specialty?

The provider's specialty is Assisted Living Facility with taxonomy code 310400000X.

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About Clermont1818 Opco, Llc NPPES

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

CLERMONT1818 OPCO, LLC (NPI 1629608013), doing business as Madison At Clermont, is a healthcare organization registered as an assisted living facility in Clermont, Florida and active in the NPI registry since January 2020. The organization lists Joanne Grzybowski, Controller, as its authorized official.

NPPES Registry Identity

NPI1629608013

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameCLERMONT1818 OPCO, LLC

Location Address650 E MINNEHAHA AVEClermont, FL 34711-3445

Mailing Address650 E Minnehaha AveClermont, FL 34711-3445 · (352) 241-0844

Phone(352) 241-0844

Organization SubpartNo

Authorized OfficialJoanne GrzybowskiController · (706) 691-9308

Enumeration DateJanuary 24, 2020

✔ NPI 1629608013 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.

650 E MINNEHAHA AVE, Clermont, FL 34711

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Other Names 1

Doing Business AsMadison At Clermont