Maitland Mc Real Estate, LLC
NPI 1063170629 · Assisted Living Facility · Maitland, FL
Maitland Mc Real Estate, LLC is a Assisted Living Facility organization in Maitland, FL (NPI 1063170629).
Provider details
- NPI number
- 1063170629
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Parent organization
- Providence Senior Living
- Organization subpart
- Yes
- Authorized official
- Gary Iversen, Vice President of Operations(407) 863-4020
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Providence Living at Maitland
Registry dates
- Enumerated
- 2021-12-01
- Last updated
- 2021-12-01
- Certified
- 2021-12-01
Frequently asked questions
- What is Maitland Mc Real Estate, LLC's NPI number?
- Maitland Mc Real Estate, LLC's National Provider Identifier (NPI) is 1063170629, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Maitland Mc Real Estate, LLC?
- Maitland Mc Real Estate, LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Maitland Mc Real Estate, LLC located?
- Maitland Mc Real Estate, LLC's practice location on file with NPPES is 701 N Maitland Ave, Maitland, FL 32751-4408.
- What is Maitland Mc Real Estate, LLC's phone number?
- The practice phone number listed in the NPPES registry for Maitland Mc Real Estate, LLC is (407) 863-4020.
- Who is the authorized official for Maitland Mc Real Estate, LLC?
- The authorized official listed on Maitland Mc Real Estate, LLC's NPPES record is Gary Iversen, Vice President of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Maitland Mc Real Estate, LLC's NPI active?
- Yes — Maitland Mc Real Estate, LLC's NPI (1063170629) is active in the NPPES registry as of the last update on 2021-12-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.