Organization Active NPI

Fletcher FL Al LLC

  • Assisted Living Facility
  • Tampa, FL
National Provider Identifier
1962201418
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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

Updated by the provider on Mar 10, 2025

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.