A BANYAN RESIDENCE ASSISTED LIVING LLC
NPI 1770775413
Assisted Living Facility in Venice, FL

Q: What is A Banyan Residence Assisted Living LLC's specialty?

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

Active since August 16, 2007

100 BASE AVE E, VENICE, FL 34285(941) 412-4748 Get Directions Write a Review

NPPES record last updated: December 17, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About A Banyan Residence Assisted Living Llc NPPES

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

A BANYAN RESIDENCE ASSISTED LIVING LLC (NPI 1770775413) is a healthcare organization registered as an assisted living facility in Venice, Florida and active in the NPI registry since August 2007. The organization lists Greg A Anderson, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1770775413

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameA BANYAN RESIDENCE ASSISTED LIVING LLC

Location Address100 BASE AVE EVenice, FL 34285-3809

Mailing Address3107 Ne 40th CtFort Lauderdale, FL 33308-6413 · (954) 454-2345 · Fax (954) 457-8242

Phone(941) 412-4748

Organization SubpartNo

Authorized OfficialGreg A AndersonManaging Member · (954) 454-2345

Enumeration DateAugust 16, 2007

Last NPPES UpdateDecember 17, 2009

✔ NPI 1770775413 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 · APPLIED FOR IT

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.

100 BASE AVE E, Venice, FL 34285

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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 A Banyan Residence Assisted Living LLC's NPI number?

The NPI number for A Banyan Residence Assisted Living LLC is 1770775413. It was assigned to this organization in the NPPES registry on August 16, 2007.

Where is A Banyan Residence Assisted Living LLC located?

A Banyan Residence Assisted Living LLC is located at 100 Base Ave E, Venice, FL 34285. The listed phone number is (941) 412-4748.

What is A Banyan Residence Assisted Living 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 A Banyan Residence Assisted Living LLC was last updated on December 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.