Provider Demographics
NPI:1871045872
Name:SENIOR LIVING VII TAMPA LLC
Entity Type:Organization
Organization Name:SENIOR LIVING VII TAMPA LLC
Other - Org Name:INSPIRED LIVING AT TAMPA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:RM AND COMPLIANCE
Authorized Official - Prefix:
Authorized Official - First Name:BILLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ABREU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-330-2660
Mailing Address - Street 1:4301 ANCHOR PLAZA PKWY STE 400
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33634-7529
Mailing Address - Country:US
Mailing Address - Phone:813-330-2660
Mailing Address - Fax:844-808-0071
Practice Address - Street 1:5130 KELLY RD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33615-4726
Practice Address - Country:US
Practice Address - Phone:813-739-0007
Practice Address - Fax:844-808-0071
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VALIDUS SENIOR LIVING REIT INVESTMENT MANAGEMENT CO., LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-10-26
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAL12689OtherAHCA LICENSE