Organization Active NPI

Bethesda View Alf LLC

  • Assisted Living Facility
  • Plant City, FL
National Provider Identifier
1497621833
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
BETHESDA VIEW ALF LLC
Practice address
104 N Gordon St
Plant City, FL 33563-5838
Phone
(224) 250-0471
NPI assigned
Oct 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Authorized official

Name
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

104 N Gordon St
Plant City, FL 33563-5838

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": "1760400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760400000000",
    "number": "1497621833",
    "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": "104 N GORDON ST",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335635838",
            "telephone_number": "224-250-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA VIEW ALF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-14",
        "last_updated": "2025-10-14",
        "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_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 14, 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.