Healthcare Provider Details

I. General information

NPI: 1447107610
Provider Name (Legal Business Name): GREYNOLDS ASSISTED LIVING FACILITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2026
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3010 GREYNOLDS AVE
SPRING HILL FL
34608-4221
US

IV. Provider business mailing address

3010 GREYNOLDS AVE
SPRING HILL FL
34608-4221
US

V. Phone/Fax

Practice location:
  • Phone: 850-559-2543
  • Fax:
Mailing address:
  • Phone: 850-559-2543
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW J SUTERS
Title or Position: OWNER
Credential: SUTERS
Phone: 850-559-2543