Active NPI
Senior Living IV Sun City, LLC
- Assisted Living Facility
- Ruskin, FL
National Provider Identifier
1831640697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL12603
- 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 LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2113801 | Senior Living IV Sun City LLC | Certificate of waiver | May 30, 2028 |
National Provider Directory
National Provider DirectoryNPI 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.