Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

A Banyan Residence Assisted Living LLC

Organization Assisted Living Facility · NPI 1770775413

A Banyan Residence Assisted Living LLC is an Assisted Living Facility in Venice, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

100 Base Ave E
Venice, FL 34285-3809
Phone: (941) 412-4748
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence APPLIED FOR IT (FL)

Record details

NPI number1770775413
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Greg Anderson — Managing Member · (954) 454-2345
NPI enumeratedAugust 16, 2007
Last updated in NPPESDecember 17, 2009
Mailing address3107 Ne 40th Ct, Fort Lauderdale, FL 33308-6413

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