OrganizationActive
16001 Lakeshore Villa Drive Opco LLC
NPI 1699643528 · Assisted Living Facility · Tampa, FL
Provider details
- NPI number
- 1699643528
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Russell Simon, Authorized Official(419) 247-2800
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
16001 Lakeshore Villa Dr
Tampa, FL 33613-1336
Phone: (813) 386-1145
Approximate (ZIP-level) locationGet directions
Mailing address
4500 Dorr St
Toledo, OH 43615-4040
Registry dates
- Enumerated
- 2025-10-23
- Last updated
- 2025-10-23
- Certified
- 2025-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.