Stillwater Assisted Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

STILLWATER ASSISTED LIVING, LLC

Practice address

504 Apache TRL
Brandon, FL 33511-8048

Phone

(865) 816-7433

Fax

(813) 441-8898

NPI assigned

Jun 28, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Ryan William Sharpe

Title

Owner

Phone

(865) 816-7433

Specialties & licenses 1

Addresses

Tax ID family

Stillwater Assisted Living LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Stillwater Assisted Living, LLC

  • Assisted Living Facility
  • Riverview, FL
  • NPI 1366112914
  NPD tax ID

Practitioners 1

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

• Courtney Royal Sharpe

  • Assisted Living Facility
  • Riverview, FL
  • NPI 1467028688
  NPD

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656374400000",
    "number": "1730811746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7412 CACTUS DAHLIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336196910",
            "telephone_number": "865-816-7433",
            "fax_number": "813-441-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 APACHE TRL",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118048",
            "telephone_number": "865-816-7433",
            "fax_number": "813-441-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILLWATER ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A",
        "authorized_official_last_name": "SHARPE",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-816-7433",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Anna Stewart, RBT
• Oliver Stewart, MD
• Sydnie Stewart
• Colette Stibich
• Jason Christopher Stibich, M.D.
• Melissa Renee Stilwell
• Stino Therapies
• April Stino
• Farida Stino, MA, LMFT
• Kristin Ann Stip, PHARMD

• Assisted Living Facility in Brandon, FL
• Providers in Brandon, 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 Jun 28, 2022; 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.