Organization Active NPI

Bethesda Oaks Alf LLC

  • Assisted Living Facility
  • Plant City, FL
National Provider Identifier
1346119260
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
BETHESDA OAKS ALF LLC
Practice address
2801 N Branch Forbes Rd
Plant City, FL 33565
Phone
(224) 250-0471
NPI assigned
Oct 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Authorized official

Name
Dr. Peter Aiad Samuel, MD
Title
Owner
Phone
(224) 250-0471

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

2801 N Branch Forbes Rd
Plant City, FL 33565

Mailing address

17005 Candeleda de Avila
Tampa, FL 33613-5213
Phone (224) 250-0471

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1761782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761782400000",
    "number": "1346119260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17005 CANDELEDA DE AVILA",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336135213",
            "telephone_number": "224-250-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 N BRANCH FORBES RD",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "33565",
            "telephone_number": "224-250-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA OAKS ALF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-30",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-14",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "AIAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-250-0471",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plant City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; 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.