Bristol Cove Management

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BRISTOL COVE MANAGEMENT

Practice address

201 N Franklin St
Suite 2570
Tampa, FL 33602-5182

Phone

(813) 280-2000

NPI assigned

Mar 2, 2017

Organization subpart

No

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

Authorized official

Name

Prem R. Shah

Title

Manager

Phone

(813) 280-2000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488412800000",
    "number": "1801336474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N FRANKLIN ST",
            "address_2": "SUITE 2570",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N FRANKLIN ST",
            "address_2": "SUITE 2570",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025182",
            "telephone_number": "813-280-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISTOL COVE MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-02",
        "last_updated": "2017-03-02",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "PREM",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "813-280-2000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lesley Ellen Brinkman-Mosiman, M. D.
• Tierra Amanda Brinkmeier
• Jazmine Briones, MA
• Marie A Brister, M.D.
• Bristol at Tampa Rehabilitation and Nursing Center LLC
• Bristol SNF LLC
• Jyoji Takata Bristol, MD
• Kellie Britch, C-LD, C-PICD, CBC
• Cheila Brito Breijo
• Yerly Brito Hernandez

• Assisted Living Facility in Tampa, FL
• Providers in Tampa, 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 Mar 2, 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.