OAKMONTE VILLAGE OF DAVIE
NPI 1770082414
Assisted Living Facility - Assisted Living, Mental Illness in Cooper City, FL

Active since February 08, 2018CLIA 10D2200404 · Waiver
8201 STIRLING RD, COOPER CITY, FL 33328(954) 982-2323 Get Directions Write a Review

NPPES record last updated: February 8, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Oakmonte Village Of Davie NPPES

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

OAKMONTE VILLAGE OF DAVIE (NPI 1770082414) is a healthcare organization registered as an assisted living, mental illness in Cooper City, Florida and active in the NPI registry since February 2018. The organization holds a CLIA Waiver certificate valid through November 15, 2026 and lists Avi Bittan, Manager, as its authorized official.

NPPES Registry Identity

NPI1770082414
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NameROYAL MG3 OF DAVIE, OPCO, LLC
Location Address8201 STIRLING RDCooper City, FL 33328-6009
Mailing Address8201 Stirling RdCooper City, FL 33328-6009 · (954) 982-2323
Organization SubpartNo
Authorized OfficialAvi BittanManager · (305) 944-7988
Enumeration DateFebruary 8, 2018
NPI 1770082414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
License Licensed in FL · 12960
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
8201 STIRLING RD, Cooper City, FL 33328

Other Names 1

Doing Business AsOakmonte Village Of Davie

Other Identifiers 1

Medicaid020500600FL

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 10D2200404

Oakmonte Village Of Davie · Davie, FL
Active · expires Nov 15, 2026
CLIA Number10D2200404
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 16, 2024
Certificate Expiration DateNovember 15, 2026
Laboratory DirectorJune Ritota
Laboratory Phone(954) 982-2323
Laboratory LocationOakmonte Village Of Davie8201 Stirling Rd, Davie, FL 33328
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Assisted Living Facility
8201 STIRLING RD
COOPER CITY, FL 33328

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 Royal Mg3 Of Davie, Opco, LLC's NPI number?

The NPI number for Royal Mg3 Of Davie, Opco, LLC is 1770082414. It was assigned to this organization in the NPPES registry on February 8, 2018. The provider is doing business as Oakmonte Village Of Davie.

Where is Royal Mg3 Of Davie, Opco, LLC located?

Royal Mg3 Of Davie, Opco, LLC is located at 8201 Stirling Rd, Cooper City, FL 33328. The listed phone number is (954) 982-2323.

What is Royal Mg3 Of Davie, Opco, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

Does Royal Mg3 Of Davie, Opco, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2200404) is associated with this NPI, valid through November 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Royal Mg3 Of Davie, Opco, LLC was last updated on February 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.