Bethesda Fountain Alf LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BETHESDA FOUNTAIN ALF LLC

Practice address

1307 E Baker St
Plant City, FL 33563-5801

Phone

(224) 250-0471

NPI assigned

Oct 14, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Peter Aiad Samuel, MD

Title

Owner

Phone

(224) 250-0471

Specialties & licenses 1

Addresses

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": "1689540023",
    "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": "1307 E BAKER ST",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335635801",
            "telephone_number": "224-250-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA FOUNTAIN 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_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delilah D Bell
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• Christopher M Berchelmann, M.D.
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• Bethesda Oaks Alf LLC
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• Bethlehem Family Services
• Robert Bigsby
• Biotech Medical Systems, Inc

• Assisted Living Facility in Plant City, FL
• Providers in Plant City, 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 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.