Organization Active NPI

New Tampa Assisted Living Community, LLC

  • Assisted Living Facility
  • Tampa, FL
National Provider Identifier
1497169858
Registry record updated Jun 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
NEW TAMPA ASSISTED LIVING COMMUNITY, LLC
Practice address
14712 N 42ND St
Tampa, FL 33613-2955
Phone
(813) 632-6370
NPI assigned
Jun 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2014

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

Authorized official

Name
Mr. Robert S Bennett
Title
MGR
Phone
(813) 545-0682

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

14712 N 42ND St
Tampa, FL 33613-2955

Mailing address

14712 N 42ND St
Tampa, FL 33613-2955
Phone (813) 632-6370

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402617600000",
    "number": "1497169858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14712 N 42ND ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336132955",
            "telephone_number": "813-632-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14712 N 42ND ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336132955",
            "telephone_number": "813-632-6370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW TAMPA ASSISTED LIVING COMMUNITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-13",
        "last_updated": "2014-06-13",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "813-545-0682",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 13, 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.