Stillwater Assisted Living, Llc

LBN: Stillwater Assisted Living, Llc
Stillwater Assisted Living, Llc is an health care organization with primary practice located at 12413 Riverglen Dr , Riverview FL 33569-8213. 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. Stillwater Assisted Living, Llc can be contacted via phone (813) 398-3000, or through Sharpe, Ryan via phone (865) 816-7433.

Contact Information

Primary practice address
12413 Riverglen Dr Riverview FL 33569-8213
Phone: (813) 398-3000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sharpe, Ryan
Phone: (865) 816-7433

Health care specialties

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

Profile Details

NPI number 1366112914
LBN Legal business name Stillwater Assisted Living, Llc
DBA Doing business as
Authorized official Sharpe, Ryan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 15th, 2021
Last updated Sep 15th, 2021 - about 3 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 1366112914 NPPES
Florida MEDICAID 110588200

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