Active NPI
Fletcher FL Al LLC
- Assisted Living Facility
- Tampa, FL
National Provider Identifier
1962201418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- FLETCHER FL AL LLC
- Practice address
- 4100 E Fletcher Ave
Tampa, FL 33613-4864 - Phone
- (646) 290-1489
- NPI assigned
- Mar 10, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Binyomin Fried
- Title
- Cfo
- Phone
- (646) 290-1489
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
4100 E Fletcher Ave
Tampa, FL 33613-4864
Mailing address
16690 Collins Ave Ste 804
Sunny Isles Beach, FL 33160-5685
National Provider Directory
National Provider DirectoryLocations
16690 Collins Ave
Ste 804
Sunny Isles Beach, FL 33160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741564800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741564800000",
"number": "1962201418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16690 COLLINS AVE STE 804",
"city": "SUNNY ISLES BEACH",
"state": "FL",
"postal_code": "331605685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 E FLETCHER AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336134864",
"telephone_number": "646-290-1489"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLETCHER FL AL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-10",
"last_updated": "2025-03-10",
"certification_date": "2025-03-09",
"status": "A",
"authorized_official_last_name": "FRIED",
"authorized_official_first_name": "BINYOMIN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "646-290-1489"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.