West Bay Of Tampa

LBN: 3865 Tampa Road Llc
West Bay Of Tampa is an health care organization with primary practice located at 3865 Tampa Rd , Oldsmar FL 34677-3008. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. 3865 Tampa Road Llc can be contacted via phone (813) 855-4661, or through Berg, Michael Theodore via phone (505) 468-4742.

Contact Information

Primary practice address
3865 Tampa Rd Oldsmar FL 34677-3008
Phone: (813) 855-4661
Fax: (813) 854-2129
Website:
Map and Directions
Authorized official contact:
Name: Berg, Michael Theodore
Phone: (505) 468-4742

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X SNF 1591096 Florida

Profile Details

NPI number 1487678132
LBN Legal business name 3865 Tampa Road Llc
DBA Doing business as West Bay Of Tampa
Authorized official Berg, Michael Theodore
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 26th, 2006
Last updated Mar 23rd, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487678132 NPPES
Florida MEDICAID 025346400

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