A Banyan Residence at Wildwood, LLC
NPI 1083201891 · Assisted Living Facility · Oxford, FL
A Banyan Residence at Wildwood, LLC is a Assisted Living Facility organization in Oxford, FL (NPI 1083201891).
Provider details
- NPI number
- 1083201891
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Parent organization
- A Banyan Residence Assisted Living LLC
- Organization subpart
- Yes
- Authorized official
- Greg Anderson, Managing Member(954) 536-4066
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
5 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
Registry dates
- Enumerated
- 2020-12-28
- Last updated
- 2020-12-28
- Certified
- 2020-12-28
Frequently asked questions
- What is A Banyan Residence at Wildwood, LLC's NPI number?
- A Banyan Residence at Wildwood, LLC's National Provider Identifier (NPI) is 1083201891, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is A Banyan Residence at Wildwood, LLC?
- A Banyan Residence at Wildwood, LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is A Banyan Residence at Wildwood, LLC located?
- A Banyan Residence at Wildwood, LLC's practice location on file with NPPES is 12427 County Road 101, Oxford, FL 34484-2941.
- What is A Banyan Residence at Wildwood, LLC's phone number?
- The practice phone number listed in the NPPES registry for A Banyan Residence at Wildwood, LLC is (954) 854-8895.
- Who is the authorized official for A Banyan Residence at Wildwood, LLC?
- The authorized official listed on A Banyan Residence at Wildwood, LLC's NPPES record is Greg Anderson, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is A Banyan Residence at Wildwood, LLC's NPI active?
- Yes — A Banyan Residence at Wildwood, LLC's NPI (1083201891) is active in the NPPES registry as of the last update on 2020-12-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.