Bella Vita Alf-Lake Magdalene

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BELLA VITA ALF-LAKE MAGDALENE

Practice address

13202 Lake Magdalene Blvd
Tampa, FL 33618-3008

Phone

(813) 485-0316

NPI assigned

Oct 24, 2019

Organization subpart

No

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

Authorized official

Name

Dennis Hoover Hoover

Title

Executive Director

Phone

(813) 485-0316

Specialties & licenses 1

Addresses

Other names 1

• UNA VITA LLC Former legal business name

Practitioners 1

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

• Jaretta Love

  • Assisted Living Facility
  • Port St Lucie, FL
  • NPI 1578415048
  NPD

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650585600000",
    "number": "1235772062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13202 LAKE MAGDALENE BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336183008",
            "telephone_number": "813-485-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13202 LAKE MAGDALENE BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336183008",
            "telephone_number": "813-485-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA VITA ALF-LAKE MAGDALENE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-24",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A",
        "authorized_official_last_name": "HOOVER",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "HOOVER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "813-485-0316"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNA VITA LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• 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 22, 2022; 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.