Inn at Lakeshore Villas

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

7531 Issued in FL

Legal business name

INN AT LAKESHORE VILLAS

Practice address

16001 Lakeshore Villa Dr
Tampa, FL 33613-1336

Phone

(813) 386-1145

NPI assigned

Jul 9, 2014

Organization subpart

No

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

Authorized official

Name

Scott Dobat, NHA

Title

Administrator/Executive Director

Phone

(813) 386-1145

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404864000000",
    "number": "1265848329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16001 LAKESHORE VILLA DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336131336",
            "telephone_number": "813-386-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16001 LAKESHORE VILLA DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336131336",
            "telephone_number": "813-386-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INN AT LAKESHORE VILLAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-09",
        "last_updated": "2014-07-09",
        "status": "A",
        "authorized_official_last_name": "DOBAT",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "ADMINISTRATOR/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "813-386-1145",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "7531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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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 Jul 9, 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.