Organization Active NPI

Senior Living VI Lakewood Ranch, LLC

Doing business as Inspired Living at Lakewood Ranch

  • Assisted Living Facility
  • Bradenton, FL
National Provider Identifier
1366117111
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SENIOR LIVING VI LAKEWOOD RANCH, LLC
Doing business as
Inspired Living at Lakewood Ranch
Practice address
5424 Lena Rd
Bradenton, FL 34211-9448
Phone
(941) 782-0148
Fax
(844) 808-0071
NPI assigned
Aug 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Authorized official

Name
Billie Abreu
Title
RM & Compliance Manager
Phone
(813) 330-2660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

5424 Lena Rd
Bradenton, FL 34211-9448

Mailing address

4301 Anchor Plaza Pkwy Ste 300
Tampa, FL 33634-7521
Phone (813) 330-2660

Other identifiers 2

IdentifierTypeStateIssuer
111704600MedicaidFL
AL12727OtherFLAHCA LICENSE

Other names 1

  • Inspired Living at Lakewood Ranch Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address regulatory@validusseniorliving.com Direct

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2102635Inspired Living at Lakewood Ranch5424 Lena Rd, Bradenton, FL 34211Certificate of waiverSep 27, 2027

National Provider Directory

National Provider Directory

Locations

5424 Lena Rd
Lakewood Ranch, FL 34211
Phone (850) 380-4657

NPI Registry JSON

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1366117111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 ANCHOR PLAZA PKWY STE 300",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336347521",
            "telephone_number": "813-330-2660",
            "fax_number": "844-808-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5424 LENA RD",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342119448",
            "telephone_number": "941-782-0148",
            "fax_number": "844-808-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR LIVING VI LAKEWOOD RANCH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-13",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "ABREU",
        "authorized_official_first_name": "BILLIE",
        "authorized_official_title_or_position": "RM & COMPLIANCE MANAGER",
        "authorized_official_telephone_number": "813-330-2660"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111704600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA LICENSE",
            "identifier": "AL12727",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "regulatory@validusseniorliving.com",
            "affiliation": "N",
            "endpointDescription": "RM Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5424 Lena Rd",
            "city": "Bradenton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342119448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Inspired Living at Lakewood Ranch",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.