Organization Active NPI

Senior Living IV Sun City, LLC

  • Assisted Living Facility
  • Ruskin, FL
National Provider Identifier
1831640697
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL12603 Issued in FL
Legal business name
SENIOR LIVING IV SUN CITY, LLC
Practice address
1320 33Rd St SE
Ruskin, FL 33573-4904
Phone
(813) 922-1821
Fax
(813) 922-1822
NPI assigned
Oct 17, 2016
Organization subpart
Yes
Parent organization
VALIDUS SENIOR LIVING REIT INVESTMENT MANAGEMENT CO LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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

Authorized official

Name
Billie Abreu
Title
Risk MGMT & Compliance Manager
Phone
(813) 330-2660

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL12603 FL Primary
Alzheimer Center (Dementia Center) 311500000X

Addresses

Primary practice location

1320 33Rd St SE
Ruskin, FL 33573-4904

Mailing address

4301 Anchor Plaza Pkwy Ste 400
Tampa, FL 33634-7529
Phone (813) 330-2660

Other names 1

  • Inspired Living at Sun City Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2113801Senior Living IV Sun City LLC1320 33Rd St SE, Sun City Center, FL 33573Certificate of waiverMay 30, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628812800000",
    "number": "1831640697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 ANCHOR PLAZA PKWY STE 400",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336347529",
            "telephone_number": "813-330-2660",
            "fax_number": "844-808-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 33RD ST SE",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335734904",
            "telephone_number": "813-922-1821",
            "fax_number": "813-922-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR LIVING IV SUN CITY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VALIDUS SENIOR LIVING REIT INVESTMENT MANAGEMENT CO LLC",
        "enumeration_date": "2016-10-17",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A",
        "authorized_official_last_name": "ABREU",
        "authorized_official_first_name": "BILLIE",
        "authorized_official_title_or_position": "RISK MGMT & COMPLIANCE MANAGER",
        "authorized_official_telephone_number": "813-330-2660"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12603",
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inspired Living at Sun City Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Inspired Living at Sun City Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ruskin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.