16001 Lakeshore Villa Drive Opco LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

16001 LAKESHORE VILLA DRIVE OPCO LLC

Practice address

16001 Lakeshore Villa Dr
Tampa, FL 33613-1336

Phone

(813) 386-1145

NPI assigned

Oct 23, 2025

Last updated

Oct 23, 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

Russell Simon

Title

Authorized Official

Phone

(419) 247-2800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1761177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761177600000",
    "number": "1699643528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 DORR ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436154040",
            "telephone_number": "419-247-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16001 LAKESHORE VILLA DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336131336",
            "telephone_number": "813-386-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "16001 LAKESHORE VILLA DRIVE OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-23",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "419-247-2800"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Tampa, FL
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• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.