Bayvue Assisted Living – Assisted Living Facility

Key facts

NPI: 1649720343
Entity type: Organization (NPI type 2)
Primary specialty: Assisted Living Facility 310400000X
License: AL12895 (FL)
Legal business name: BAYVUE ASSISTED LIVING
Practice address: 2506 Lithia Pinecrest Rd
Valrico, FL 33596-5036
Phone: (813) 436-0735
Fax: (813) 436-0735
NPI assigned: Oct 6, 2016
Organization subpart: No

Authorized official

Name: Tennille Joplin NPI 1619065877
Title: Administrator
Phone: (813) 391-8398

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Tennille Joplin Speech-Language Pathologist · Valrico, FL · NPI 1619065877

NPD (past) Authorized official
Nicholas Alan Giammarco, SLPA Speech-Language Assistant · Valrico, FL · NPI 1558979310

NPD (past)

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Assisted Living Facility	310400000X	AL12895	FL	Yes
Assisted Living Facility (Mental Illness)	3104A0625X

Addresses

Primary practice location

2506 Lithia Pinecrest Rd
Valrico, FL 33596-5036

Mailing address

3433 Lithia Pinecrest Rd Ste 135
Valrico, FL 33596-6302

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 6, 2016.

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475712000000",
    "number": "1649720343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 LITHIA PINECREST RD STE 135",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335966302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 LITHIA PINECREST RD",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335965036",
            "telephone_number": "813-436-0735",
            "fax_number": "813-436-0735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYVUE ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-06",
        "last_updated": "2016-10-06",
        "status": "A",
        "authorized_official_last_name": "JOPLIN",
        "authorized_official_first_name": "TENNILLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-391-8398"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12895",
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valrico, FL

All providers in Valrico, FL · Assisted Living Facility in Florida

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2016. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.