Organization Active NPI

Spgi Alf LLC

  • Assisted Living Facility
  • Tampa, FL
National Provider Identifier
1053812867
Registry record updated Feb 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SPGI ALF LLC
Practice address
12250 N 22ND St
Tampa, FL 33612-4955
Phone
(813) 972-8001
NPI assigned
Feb 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2018

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

Authorized official

Name
Jeannette Baltzly
Title
Ceo
Phone
(407) 782-6364

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

12250 N 22ND St
Tampa, FL 33612-4955

Mailing address

12250 N 22ND St
Tampa, FL 33612-4955

Other names 1

  • The Inn at University Village Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519689600000",
    "number": "1053812867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12250 N 22ND ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336124955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12250 N 22ND ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336124955",
            "telephone_number": "813-972-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPGI ALF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-02-27",
        "status": "A",
        "authorized_official_last_name": "BALTZLY",
        "authorized_official_first_name": "JEANNETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-782-6364"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Inn at University Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; 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.