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GRAND VILLA OF BOYNTON BEACH
NPI 1952775926
Assisted Living Facility in Clearwater, FL

Active since November 13, 2015CLIA 10D0928614 · Waiver
13770 58TH ST N, SUITE 312, CLEARWATER, FL 33760(727) 726-3980 Get Directions Write a Review

NPPES record last updated: November 13, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grand Villa Of Boynton Beach NPPES

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

GRAND VILLA OF BOYNTON BEACH (NPI 1952775926) is a healthcare organization registered as an assisted living facility in Clearwater, Florida and active in the NPI registry since November 2015. The organization holds a CLIA Waiver certificate valid through May 21, 2027 and lists Dennis Forte, Authorized Agent, as its authorized official.

NPPES Registry Identity

NPI1952775926
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameGV BOYNTON BEACH, LLC
Location Address13770 58TH ST N, SUITE 312Clearwater, FL 33760-3759
Mailing Address1935 S Federal HwyBoynton Beach, FL 33435-6967
Phone(727) 726-3980
Organization SubpartNo
Authorized OfficialDennis ForteAuthorized Agent · (727) 726-3980
Enumeration DateNovember 13, 2015
✔ NPI 1952775926 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 · AL8186
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.
13770 58TH ST N, Clearwater, FL 33760
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Other Names 1

Doing Business AsGrand Villa Of Boynton Beach

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 10D0928614

Grand Villa Of Boynton Beach · Boynton Beach, FL
Active · expires May 21, 2027
CLIA Number10D0928614
Laboratory TypeAssisted Living Facility
Certificate Effective DateMay 22, 2025
Certificate Expiration DateMay 21, 2027
Laboratory DirectorFelecia Fisher
Laboratory Phone(561) 736-2424
Laboratory LocationGrand Villa Of Boynton Beach1935 S Federal Hwy, Boynton Beach, FL 33435
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

QUEST DIAGNOSTICS CLINICAL LABORATORIES INC
Clinical Medical Laboratory
13770 58TH ST N
CLEARWATER, FL 33760
Pinellas County (727) 539-1395
GV ST. PETE, LLC
Assisted Living Facility
13770 58TH ST N, SUITE 312
CLEARWATER, FL 33760
Pinellas County (727) 726-3980
GV ENGLEWOOD, LLC
Assisted Living Facility
13770 58TH ST N, SUITE 312
CLEARWATER, FL 33760
Pinellas County (727) 726-3980
DR. KIMIKO TAKEZAWA M.D.
Pathology (Anatomic Pathology)
13770 58TH ST N, SUITE 309
CLEARWATER, FL 33760
Pinellas County (727) 539-1395

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 Gv Boynton Beach, LLC's NPI number?

The NPI number for Gv Boynton Beach, LLC is 1952775926. It was assigned to this organization in the NPPES registry on November 13, 2015. The provider is doing business as Grand Villa Of Boynton Beach.

Where is Gv Boynton Beach, LLC located?

Gv Boynton Beach, LLC is located at 13770 58th St N Suite 312, Clearwater, FL 33760. The listed phone number is (727) 726-3980.

What is Gv Boynton Beach, LLC's specialty?

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

Does Gv Boynton Beach, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0928614) is associated with this NPI, valid through May 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Gv Boynton Beach, LLC was last updated on November 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.