LITHIA ASSISTED LIVING LLC NPI 1376023945

NPI Information

  • NPI: 1376023945
  • Provider Name: LITHIA ASSISTED LIVING LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: TWIN CREEKS ASSISTED LIVING & MEMORY CARE
  • CLIA Number: 10D2135018
  • Address: 13470 BOYETTE RD
    RIVERVIEW, FL
    ZIP 33569
  • Phone: (813) 278-5800

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NPI Details

LITHIA ASSISTED LIVING LLC is an assisted living facility in Riverview, 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. LITHIA ASSISTED LIVING LLC NPI is 1376023945. The provider is registered as an organization entity type.
The provider Is Doing Business As Twin Creeks Assisted Living & Memory Care.

The provider's business location address is:

13470 BOYETTE RD
RIVERVIEW, FL
ZIP 33569
Phone: (813) 278-5800
Fax: (813) 278-5906

The provider's authorized official is Amy Van Kleeck .
The authorized official title is Executive Director and has the following contact phone number (813) 278-5800.

The CLIA number assigned to this NPI record is 10D2135018 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/14/2018 and was last updated on 8/14/2018.

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 Facility13122FLORIDAYes

What is NPI?

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This page was last updated on: 11/21/2025

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