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A Banyan Residence Assisted Living LLC

NPI 1770775413ActiveOrganization· Assisted Living Facility· Venice, FL

Assisted Living Facility in Venice, Florida, registered in NPPES in August 2007. The authorized official on file is Greg A. Anderson, Managing Member.

Overview

NPI1770775413
StatusActive
Entity typeOrganization
NPI issuedAug 16, 2007
Last updated in NPPESDec 17, 2009

Specialties and licenses

TaxonomyCodeLicenseState
Assisted Living Facility Primary310400000XAPPLIED FOR ITFL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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