Organization Active NPI

Belvedere Commons of Tampa

  • Alzheimer Center (Dementia Center)
  • Tampa, FL
National Provider Identifier
1578975033
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Alzheimer Center (Dementia Center)Taxonomy code 311500000X
License
AL8803 Issued in FL
Legal business name
BELVEDERE COMMONS OF TAMPA
Practice address
1513 W Fletcher Ave
Tampa, FL 33612-3315
Phone
(813) 265-0844
Fax
(813) 265-1446
NPI assigned
Jun 2, 2014
Last updated
Jun 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2014

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

Authorized official

Name
Ruth Anne Ristow
Title
Executive Director
Phone
(813) 265-0844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Alzheimer Center (Dementia Center) 311500000X AL8803 FL Primary

Addresses

Primary practice location

1513 W Fletcher Ave
Tampa, FL 33612-3315

Mailing address

1513 W Fletcher Ave
Tampa, FL 33612-3315
Phone (813) 265-0844

National Provider Directory

National Provider Directory

Locations

1513 W Fletcher Ave
Tampa, FL 33612
Phone (513) 265-0844

NPI Registry JSON

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1578975033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 W FLETCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336123315",
            "telephone_number": "813-265-0844",
            "fax_number": "813-265-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 W FLETCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336123315",
            "telephone_number": "813-265-0844",
            "fax_number": "813-265-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELVEDERE COMMONS OF TAMPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-02",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "RISTOW",
        "authorized_official_first_name": "RUTH ANNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "813-265-0844"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "FL",
            "license": "AL8803",
            "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 2, 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.