Arbor Village Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL49 Issued in FL

Legal business name

ARBOR VILLAGE INC

Practice address

13107 N 22ND St
Tampa, FL 33612-3815

Phone

(813) 972-3616

Fax

(813) 971-6890

NPI assigned

Jul 1, 2007

Last updated

Apr 5, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Pershing Supen De Leon Jr., OWNER

Title

President

Phone

(813) 972-3616

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1053518126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13107 N 22ND ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336123815",
            "telephone_number": "813-972-3616",
            "fax_number": "813-971-6890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13107 N 22ND ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336123815",
            "telephone_number": "813-972-3616",
            "fax_number": "813-971-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARBOR VILLAGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-01",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "DE LEON",
        "authorized_official_first_name": "PERSHING",
        "authorized_official_middle_name": "SUPEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-972-3616",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL49",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140980800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cyrillo Rodrigues Araujo, M.D.
• Nancy Araven
• Mesfin T Araya
• Yael Arbel, PH.D.
• Adriana Lucia Arbelaez, ARNP
• Michelle Arbor, B.S.W.
• Skylar Marie Arcario
• Christian Arce Guzman, MD
• Fernando Arce, OD
• Thomas Arcentales

• Assisted Living Facility in Tampa, FL
• Providers in Tampa, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.