BARTOW SLC OPCO LLC NPI 1063112183

NPI Information

  • NPI: 1063112183
  • Provider Name: BARTOW SLC OPCO, LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • CLIA Number: 10D2293930
  • Address: 290 N IDLEWOOD AVE
    BARTOW, FL
    ZIP 33830
  • Phone: (863) 519-3398

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NPI Details

BARTOW SLC OPCO, LLC is an assisted living facility in Bartow, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. BARTOW SLC OPCO, LLC NPI is 1063112183. The provider is registered as an organization entity type.

The provider's business location address is:

290 N IDLEWOOD AVE
BARTOW, FL
ZIP 33830-246
Phone: (863) 519-3398
Fax: (863) 519-3398

The provider's authorized official is Pilar Carvajal .
The authorized official title is Ceo and has the following contact phone number (305) 428-2480.

The CLIA number assigned to this NPI record is 10D2293930 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/7/2023 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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