NPIMap

Organization Active NPI

Lakeshore Living

  • Assisted Living Facility
  • Thonotosassa, FL
National Provider Identifier
1154556876
Registry record updated May 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL10832 Issued in FL
Legal business name
LAKESHORE LIVING
Practice address
10919 Mistletoe Dr
Thonotosassa, FL 33592-2801
Phone
(813) 982-1050
Fax
(813) 982-1070
NPI assigned
May 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2009

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

Authorized official

Name
Mr. David Caldwell
Title
Owner
Phone
(813) 982-1050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL10832 FL Primary

Addresses

Primary practice location

10919 Mistletoe Dr
Thonotosassa, FL 33592-2801

Mailing address

10919 Mistletoe Dr
Thonotosassa, FL 33592-2801
Phone (813) 982-1050

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243296000000",
    "number": "1154556876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10919 MISTLETOE DR",
            "city": "THONOTOSASSA",
            "state": "FL",
            "postal_code": "335922801",
            "telephone_number": "813-982-1050",
            "fax_number": "813-982-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10919 MISTLETOE DR",
            "city": "THONOTOSASSA",
            "state": "FL",
            "postal_code": "335922801",
            "telephone_number": "813-982-1050",
            "fax_number": "813-982-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-26",
        "last_updated": "2009-05-26",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-982-1050",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thonotosassa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; 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.