ANGELS SENIOR LIVING AT THE LODGES OF IDLEWILD, LLC (NPI# 1730631284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730631284 |
| Entity Type | Organization |
| Organization Name | ANGELS SENIOR LIVING AT THE LODGES OF IDLEWILD, LLC |
| Practice Address |
18440 Exciting Idlewild Blvd Lutz FL 33548-4573 |
| Practice Telephone | 8132648200 |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2016-11-01 |
| Authorized Official Name | ROBERT BENNETT (OFFICER) |
| Authorized Official Telephone | 8138862023 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 12899 | FL | Nursing & Custodial Care Facilities |
| Street Address |
18440 EXCITING IDLEWILD BLVD |
| City | LUTZ |
| State | FL |
| Zip Code | 33548-4573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205337821 | Chiros On 54 LLC | Chiropractor | 1003 N Dale Mabry Hwy, Lutz, FL 33548 | 2018-02-28 |
| 1295233666 | Issac M Arroyo | Behavior Technician | 18288 Us 41, Lutz, FL 33548 | 2018-01-31 |
| 1699293225 | Lettuce Lake Emergency Physicians LLC | Physician Assistant | 1430 Dale Mabry Highway, Lutz, FL 33548 | 2017-09-04 |
| 1780010512 | Yanina Abaunza-fiallos Md Pa | Pediatrics | 17541 N. Dale Mabry Hwy., Lutz, FL 33548 | 2013-09-25 |
| 1891138459 | Atlas Medical Services, Inc | Durable Medical Equipment & Medical Supplies | 3859 Van Dyke Rd, Suite 161, Lutz, FL 33548 | 2013-04-14 |
| 1407122492 | Tania Isabel Mendoza | Pathology | 19045 N Dale Mabry Hwy, Lutz, FL 33548 | 2012-03-24 |
| 1528362944 | Life Discovery Counseling Center | Counselor | 18371 Exciting Idlewild Blvd, Lutz, FL 33548 | 2010-12-28 |
| 1356643423 | Heidi Jane Pickering | Chiropractor | 19011 N Dale Mabry, Lutz, FL 33548 | 2010-11-23 |
| 1992015762 | Yolanda R. Harper | Social Worker | 1527 Dale Mabry Hwy Ste 103, Lutz, FL 33548 | 2010-10-14 |
| 1821231846 | Michael Lee Bishop | Psychologist | 18958 N Dale Mabry Hwy, Ste 102, Lutz, FL 33548 | 2009-04-07 |
| Find all providers in zip 33548 | ||||
| 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 |
|---|---|---|---|---|
| 1255723474 | Jenny;s Alf 3,inc | Assisted Living Facility | 17633 Meadowbridge Dr, Lutz, FL 33549-5574 | 2015-02-25 |
| 1831511120 | Stephanie Wells | Assisted Living Facility | 1114 W County Line Rd, Lutz, FL 33558-5032 | 2014-01-06 |
| 1306276381 | The Austin Group Inc | Assisted Living Facility | 1011 Van Dyke Rd, Lutz, FL 33548-4719 | 2013-11-12 |
| 1982951067 | Magnolia Manor Assisted Living, Inc. | Assisted Living Facility | 17420 Old Tobacco Rd, Lutz, FL 33558-4979 | 2012-08-08 |
| 1164705901 | Jenny's Assisted Living Facility | Assisted Living Facility | 16116 Tampa St, Lutz, FL 33548-6125 | 2011-09-27 |
| 1609235597 | Villa's Alf #2, Inc. | Assisted Living Facility | 16116 Tampa St, Lutz, FL 33548-6125 | 2016-02-19 |
| 1114390101 | Wellness Care Center LLC | Assisted Living Facility | 17633 Meadowbridge Dr, Lutz, FL 33549-5574 | 2015-11-12 |
| 1700260387 | Gloria Alf, Inc. | Assisted Living Facility | 16116 Tampa St, Lutz, FL 33548-6125 | 2015-07-14 |
| 1780070078 | Gomes Place LLC | Assisted Living Facility | 17607 Simmons Rd, Lutz, FL 33548-4596 | 2015-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275372 | Loving Family Senior Care, LLC | Assisted Living Facility | 2323 Nw 34th St, Miami, FL 33142-5307 | 2020-11-08 |
| 1548861230 | Allure A&l Inc | Assisted Living Facility | 13692 Carlton St, Wellington, FL 33414-7748 | 2020-11-08 |
| 1982205787 | Pd & Sr, L.L.C. | Assisted Living Facility | 730 Frisco St Se, Palm Bay, FL 32909-3711 | 2020-11-06 |
| 1982205019 | Cantillo Love & Care LLC | Assisted Living Facility | 1045 W 23rd St, Hialeah, FL 33010-1922 | 2020-11-04 |
| 1194326728 | Bliss Life Residential Care | Assisted Living Facility | 402 Arthur Ave, Lehigh Acres, FL 33936-7412 | 2020-11-02 |
| 1811597404 | Huguette Mortimer Dupont | Assisted Living Facility | 1596 Sw Paar Dr, Port St Lucie, FL 34953-6159 | 2020-11-01 |
| 1750981841 | Senior Living Properties IIi, LLC | Assisted Living Facility | 3791 Old Canoe Creek Rd, Saint Cloud, FL 34769-6630 | 2020-10-28 |
| 1417556028 | 5081 Cambridge LLC | Assisted Living Facility | 5081 Nw Dunn Rd, Fort Pierce, FL 34981-4942 | 2020-10-23 |
| 1134728926 | Pacifica Lauderhill LLC | Assisted Living Facility | 5500 Nw 69th Ave, Lauderhill, FL 33319-7266 | 2020-10-22 |
| 1760081749 | Hsre-ahr Zephyrhills LLC | Assisted Living Facility | 38130 Pretty Pond Road, Zephyrhills, FL 33540 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ANGELS SENIOR LIVING AT THE LODGES OF IDLEWILD, LLC.
| 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.