Bamboo Villas Assited Living Facility, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

11420 Issued in FL

Legal business name

BAMBOO VILLAS ASSITED LIVING FACILITY, LLC

Practice address

2730 W Wilder Ave
Tampa, FL 33614-6809

Phone

(813) 766-4018

NPI assigned

Mar 6, 2014

Organization subpart

No

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

Authorized official

Name

Rodolfo Sumulong

Title

Owner

Phone

(813) 766-4018

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Michael Buscemi

  • Occupational Therapist
  • Tampa, FL
  • NPI 1649497751
  NPD (past)

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

{
    "created_epoch": "1394064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394064000000",
    "number": "1114343837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 W WILDER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336146809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 W WILDER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336146809",
            "telephone_number": "813-766-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAMBOO VILLAS ASSITED LIVING FACILITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-06",
        "last_updated": "2014-03-06",
        "status": "A",
        "authorized_official_last_name": "SUMULONG",
        "authorized_official_first_name": "RODOLFO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-766-4018"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "11420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlyn Nicole Balsay, MD
• Farrah Balthazar, LCSW
• Aliyah Baluch, M.D.
• Kristiann Marie Baluta
• Terri Balzer
• Lauren Elizabeth Bamesberger, APRN
• Phillip Stephen Ban
• Alexandra Banales, PA-C
• Chantal Banatty
• Bancroft Medical

• 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 Mar 6, 2014; 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.