Organization Active NPI

The Villas of Tampa LLC

  • Assisted Living Facility
  • Tampa, FL
National Provider Identifier
1396020921
Registry record updated Oct 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL10368 Issued in FL
Legal business name
THE VILLAS OF TAMPA LLC
Practice address
10515 Memorial Hwy
Tampa, FL 33615-2505
Phone
(813) 891-0549
Fax
(813) 925-3825
NPI assigned
Oct 14, 2011
Last updated
Oct 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2011

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

Authorized official

Name
Mr. Robert A Loomis
Title
Administrator
Phone
(813) 891-0549

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL10368 FL Primary

Addresses

Primary practice location

10515 Memorial Hwy
Tampa, FL 33615-2505

Mailing address

10515 Memorial Hwy
Tampa, FL 33615-2505
Phone (813) 891-0549

Other identifiers 1

IdentifierTypeStateIssuer
142090900MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1318550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318550400000",
    "number": "1396020921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10515 MEMORIAL HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336152505",
            "telephone_number": "813-891-0549",
            "fax_number": "813-925-3825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10515 MEMORIAL HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336152505",
            "telephone_number": "813-891-0549",
            "fax_number": "813-925-3825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VILLAS OF TAMPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-14",
        "last_updated": "2011-10-14",
        "status": "A",
        "authorized_official_last_name": "LOOMIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-891-0549",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142090900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; 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.