Organization Active NPI

CRP Lakeshore Villas, L.L.C.

  • Assisted Living Facility
  • Tampa, FL
National Provider Identifier
1922495530
Registry record updated Jul 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
7531 Issued in FL
Legal business name
CRP LAKESHORE VILLAS, L.L.C.
Practice address
16001 Lakeshore Villa Dr
Tampa, FL 33613-1336
Phone
(813) 386-1145
Fax
(813) 514-9103
NPI assigned
Apr 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2015

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

Authorized official

Name
Miss Veronica J Catoe
Title
Regional Supervisor
Phone
(314) 512-8744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 7531 FL Primary

Addresses

Primary practice location

16001 Lakeshore Villa Dr
Tampa, FL 33613-1336

Mailing address

16001 Lakeshore Villa Dr
Tampa, FL 33613-1336
Phone (813) 386-1145

Other names 1

  • Renaissance Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436140800000",
    "number": "1922495530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16001 LAKESHORE VILLA DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336131336",
            "telephone_number": "813-386-1145",
            "fax_number": "813-514-9103"
        },
        {
            "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",
            "fax_number": "813-514-9103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRP LAKESHORE VILLAS, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-21",
        "last_updated": "2015-07-06",
        "status": "A",
        "authorized_official_last_name": "CATOE",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "REGIONAL SUPERVISOR",
        "authorized_official_telephone_number": "314-512-8744",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "7531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renaissance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2015; 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.