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SENIOR HEALTH TLTC LLC NPI 1386087351


NPI Information

NPI: 1386087351
Provider Name: SENIOR HEALTH TLTC, LLC

Doing Business As: SUNRISE VILLAGE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
11722 N 17TH ST
TAMPA, FL
ZIP 33612
Phone: (813) 971-8072
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SENIOR HEALTH TLTC, LLC is an assisted living facility in Tampa, 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. SENIOR HEALTH TLTC, LLC NPI is 1386087351. The provider is registered as an organization entity type.
The provider Is Doing Business As Sunrise Village.

The provider's business location address is:

11722 N 17TH ST
TAMPA, FL
ZIP 33612-434
Phone: (813) 971-8072
Fax: (813) 972-9664

The provider's authorized official is Howard Jaffe .
The authorized official title is President and has the following contact phone number (215) 346-6454.

The enumeration date for this NPI number is 4/9/2013 and was last updated on 4/9/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityAL5898FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1687721400MEDICAIDFLORIDA

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: 4/28/2024

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