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GRAND VILLA OF ENGLEWOOD, LLC
NPI 1952105207
Assisted Living Facility in Englewood, FL

Active since April 03, 2025CLIA 10D0973015 · Waiver
925 S RIVER RD, ENGLEWOOD, FL 34223(941) 474-8600 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grand Villa Of Englewood, Llc NPPES

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

GRAND VILLA OF ENGLEWOOD, LLC (NPI 1952105207) is a healthcare organization registered as an assisted living facility in Englewood, Florida and active in the NPI registry since April 2025. The organization holds a CLIA Waiver certificate valid through April 24, 2028 and lists Robin Monthie, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1952105207
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameGRAND VILLA OF ENGLEWOOD, LLC
Location Address925 S RIVER RDEnglewood, FL 34223-3909
Mailing Address13770 58th St N Ste 312Clearwater, FL 33760-3759 · (727) 726-3980
Phone(941) 474-8600
Organization SubpartNo
Authorized OfficialRobin MonthieOperations Manager · (727) 726-3980
Enumeration DateApril 3, 2025
NPPES CertifiedApril 3, 2025
✔ NPI 1952105207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedAlzheimer Center (Dementia Center)Taxonomy 311500000X
925 S RIVER RD, Englewood, FL 34223
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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 10D0973015

Grand Villa Of Englewood, LLC · Englewood, FL
Active · expires Apr 24, 2028
CLIA Number10D0973015
Laboratory TypeAssisted Living Facility
Certificate Effective DateApril 25, 2026
Certificate Expiration DateApril 24, 2028
Laboratory DirectorMarilyn Jacobs
Laboratory Phone(941) 474-8600
Laboratory LocationGrand Villa Of Englewood, LLC925 S River Rd, Englewood, FL 34223
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 5

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

CARRIE LENEIGH MINICK SHARKEY MSPT, COMT
Physical Therapist (Orthopedic)
925 S RIVER RD
ENGLEWOOD, FL 34223
Sarasota County (941) 475-3516
EMERITUS PROPERTIES V, INC.
Assisted Living Facility
925 S RIVER RD
ENGLEWOOD, FL 34223
Sarasota County (941) 474-8600
AEGIS GROUP PRACTICE LLC
Physical Therapist
925 S RIVER RD
ENGLEWOOD, FL 34223
Sarasota County (800) 444-6845
LARRY DAVID KUWIK
Occupational Therapy Assistant
925 S RIVER RD
ENGLEWOOD, FL 34223
Sarasota County (941) 475-3516
SHYMAA TEMRAZ BS,PTA
Physical Therapy Assistant
925 S RIVER RD
ENGLEWOOD, FL 34223
Sarasota County (941) 475-3516

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 Grand Villa Of Englewood, LLC's NPI number?

The NPI number for Grand Villa Of Englewood, LLC is 1952105207. It was assigned to this organization in the NPPES registry on April 3, 2025.

Where is Grand Villa Of Englewood, LLC located?

Grand Villa Of Englewood, LLC is located at 925 S River Rd, Englewood, FL 34223. The listed phone number is (941) 474-8600.

What is Grand Villa Of Englewood, LLC's specialty?

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

Does Grand Villa Of Englewood, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0973015) is associated with this NPI, valid through April 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Grand Villa Of Englewood, LLC was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.