Organization Active NPI

Silver Lake Alf

  • Assisted Living Facility
  • Tampa, FL
National Provider Identifier
1689114787
Registry record updated Mar 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL11512 Issued in FL
Legal business name
SILVER LAKE ALF
Practice address
3211 W Sitka St
Tampa, FL 33614-2701
Phone
(813) 410-0828
Fax
(813) 999-4036
NPI assigned
Mar 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2017

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

Authorized official

Name
Asriel LopezNPI 1881144293
Title
Administrator
Phone
(813) 410-0828

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL11512 FL Primary

Addresses

Primary practice location

3211 W Sitka St
Tampa, FL 33614-2701

Mailing address

3211 W Sitka St
Tampa, FL 33614-2701
Phone (813) 410-0828

Other identifiers 1

IdentifierTypeStateIssuer
009213400MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1488931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488931200000",
    "number": "1689114787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 W SITKA ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142701",
            "telephone_number": "813-410-0828",
            "fax_number": "813-999-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 W SITKA ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142701",
            "telephone_number": "813-410-0828",
            "fax_number": "813-999-4036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER LAKE ALF",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-08",
        "last_updated": "2017-03-08",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "ASRIEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-410-0828"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009213400",
            "state": "FL"
        }
    ],
    "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 Mar 8, 2017; 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.