BLC Tampa-GC,LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BLC TAMPA-GC,LLC

Doing business as

Brookdale Bayshore

Practice address

4902 Bayshore Blvd
Tampa, FL 33611-3870

Phone

(813) 835-4475

Fax

(813) 831-1382

NPI assigned

Nov 17, 2010

Last updated

Mar 20, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anna F.C. Munoz

Title

Assistant Secretary

Phone

(414) 918-5443

Specialties & licenses 1

Addresses

Other names 1

• Brookdale Bayshore Doing business as

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1578865903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4902 BAYSHORE BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336113870",
            "telephone_number": "813-835-4475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4902 BAYSHORE BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336113870",
            "telephone_number": "813-835-4475",
            "fax_number": "813-831-1382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLC TAMPA-GC,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-17",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "MUNOZ",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "F.C.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "414-918-5443"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale Bayshore",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Blessed Hands of Faith LLC
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• Assisted Living Facility in Tampa, FL
• Providers in Tampa, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.