Provider Demographics
NPI:1750270005
Name:REDEEMED ASSISTED LIVING LLC.
Entity type:Organization
Organization Name:REDEEMED ASSISTED LIVING LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TAMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:SPAULDING
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA
Authorized Official - Phone:813-397-8192
Mailing Address - Street 1:7901 4TH ST N
Mailing Address - Street 2:STE 300
Mailing Address - City:ST. PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33792
Mailing Address - Country:US
Mailing Address - Phone:813-397-8192
Mailing Address - Fax:813-364-4331
Practice Address - Street 1:12103 BRIGHTWATER BLVD
Practice Address - Street 2:
Practice Address - City:TEMPLE TERRACE
Practice Address - State:FL
Practice Address - Zip Code:33617-1706
Practice Address - Country:US
Practice Address - Phone:813-397-8192
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness