Arbor Village Inc

LBN: Arbor Village Inc
Arbor Village Inc is an health care organization with primary practice located at 13107 N 22Nd St , Tampa FL 33612-3815. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Arbor Village Inc can be contacted via phone (813) 972-3616, or through De Leon, Pershing Supen via phone (813) 972-3616.

Contact Information

Primary practice address
13107 N 22Nd St Tampa FL 33612-3815
Phone: (813) 972-3616
Fax: (813) 971-6890
Website:
Map and Directions
Authorized official contact:
Name: De Leon, Pershing Supen OWNER
Phone: (813) 972-3616

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL49 Florida

Profile Details

NPI number 1053518126
LBN Legal business name Arbor Village Inc
DBA Doing business as
Authorized official De Leon, Pershing Supen OWNER
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2007
Last updated Apr 5th, 2011 - about 14 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 1053518126 NPPES
Florida MEDICAID 140980800

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