LITHIA ASSISTED LIVING LLC (NPI# 1376023945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376023945 |
| Entity Type | Organization |
| Organization Name | LITHIA ASSISTED LIVING LLC |
| Other Organization Name | TWIN CREEKS ASSISTED LIVING & MEMORY CARE |
| Practice Address |
13470 Boyette Rd Riverview FL 33569 |
| Mailing Address |
13470 Boyette Rd Riverview FL 33569-5706 |
| Practice Telephone | 8132785800 |
| Practice Fax Number | 8132785906 |
| Mailing Telephone | 8132785800 |
| Mailing Fax Number | 8132785906 |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2018-08-14 |
| Authorized Official Name | MRS. AMY VAN KLEECK (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8132785800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 13122 | FL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Twin Creeks Assisted Living & Memory Care | Doing Business As Name - Organization |
| Street Address |
13470 BOYETTE RD |
| City | RIVERVIEW |
| State | FL |
| Zip Code | 33569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245845197 | Alice Eugene | Speech-Language Pathologist | 13470 Boyette Rd, Riverview, FL 33569-5706 | 2020-09-08 |
| 1467011692 | Caitlyn Rose Amorim | Occupational Therapy Assistant | 13470 Boyette Rd, Riverview, FL 33569-5706 | 2019-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377907 | Musculoskeletal Institute Chartered | Orthopaedic Surgery | 11286 Boyett Rd, Suite 101, Riverview, FL 33569 | 2020-05-07 |
| 1730726472 | Peter James Wise | Occupational Therapist | 11286 Boyette Rd, Suite 101, Riverview, FL 33569 | 2019-12-02 |
| 1992223911 | Flobert Lubin | Registered Nurse | 11135 Lakeside Vista Dr, Riverview, FL 33569 | 2017-08-30 |
| 1467908087 | Publix Super Markets Inc | Pharmacy | 11460 S Us Highway 301, Riverview, FL 33569 | 2016-09-01 |
| 1669831004 | Sandra M Santos | Dentist | 11478 S Us Hwy 301 S, Riverview, FL 33569 | 2016-02-13 |
| 1740509876 | Balanced Home Healthcare, Inc. | Home Health | 10855 Boyette Road, Riverview, FL 33569 | 2010-05-28 |
| 1801114160 | Zahid I Choudary | Psychiatry & Neurology | American Telestroke and Neurology Inc, 11922 Boyette Rd, Riverview, FL 33569 | 2010-05-12 |
| 1033348974 | Keri Ann Herro | Chiropractor | 11974 Balm Riverview Road, Riverview, FL 33569 | 2009-07-14 |
| 1689838666 | Danoosh Shiravand Amrooei | Dentist | 10845 W Bloomingdale Ave, Riverview, FL 33569 | 2008-07-18 |
| 1386801538 | Daisy Marie Deynes-bryant | Social Worker | 8626 Us Highway 301 S, Riverview, FL 33569 | 2008-05-16 |
| Find all providers in zip 33569 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700497740 | Angel's Touch | Assisted Living Facility | 11216 Mcmullen Rd, Riverview, FL 33569-6310 | 2020-08-13 |
| 1255811675 | Dorothy Cares Alf, LLC | Assisted Living Facility | 10427 Crestfield Dr, Riverview, FL 33569-5774 | 2018-08-15 |
| 1467907857 | Dorothy Araujo | Assisted Living Facility | 11626 Tropical Isle Ln, Riverview, FL 33579 | 2016-08-16 |
| 1770977092 | Angel's Touch | Assisted Living Facility | 12413 Riverglen Dr, Riverview, FL 33569-8213 | 2015-03-25 |
| 1003204454 | Assured Care Alf | Assisted Living Facility | 12209 Matchfield Way, Riverview, FL 33579-4027 | 2015-01-07 |
| 1326445396 | The Crossings At Riverview, LLC | Assisted Living Facility | 8451 Us Highway 301 S, Riverview, FL 33578-5441 | 2014-11-19 |
| 1912345034 | Angels Touch Assisted Living Center | Assisted Living Facility | 11207 Cocoa Beach Dr, Riverview, FL 33569-2949 | 2013-06-11 |
| 1649800335 | Wp Crossings Sr-fl Holder, LLC | Assisted Living Facility | 8451 Us 301 S, Riverview, FL 33578-5450 | 2020-01-22 |
| 1801367982 | Chp Ll Riverview Fl Tenant LLC | Assisted Living Facility | 8451 Us Highway 301 S, Riverview, FL 33578-5450 | 2018-12-16 |
| 1316471923 | Dorothy Cares Alf, LLC | Assisted Living Facility | 11626 Tropical Isle Ln, Riverview, FL 33579-7280 | 2017-04-20 |
| Find all providers in RIVERVIEW | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.