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ARBOR VILLAGE INC
NPI 1053518126
Assisted Living Facility in Tampa, FL

Active since July 01, 2007CLIA 10D2211482 · Waiver
13107 N 22ND ST, TAMPA, FL 33612(813) 972-3616(813) 971-6890 Get Directions Write a Review

NPPES record last updated: April 5, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Arbor Village Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ARBOR VILLAGE INC (NPI 1053518126) is a healthcare organization registered as an assisted living facility in Tampa, Florida and active in the NPI registry since July 2007. The organization holds a CLIA Waiver certificate valid through January 27, 2027 and lists Pershing Supen De Leon, President, as its authorized official.

NPPES Registry Identity

NPI1053518126
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameARBOR VILLAGE INC
Location Address13107 N 22ND STTampa, FL 33612-3815
Mailing Address13107 N 22nd StTampa, FL 33612-3815 · (813) 972-3616 · Fax (813) 971-6890
Phone(813) 972-3616
Fax(813) 971-6890
Organization SubpartNo
Authorized OfficialPershing Supen De LeonPresident · (813) 972-3616
Enumeration DateJuly 1, 2007
Last NPPES UpdateApril 5, 2011
✔ NPI 1053518126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in FL · AL49
Definition
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.
13107 N 22ND ST, Tampa, FL 33612
Open in Google Maps ↗

Other Identifiers 1

Medicaid140980800FL

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2211482

Arbor Village Inc · Tampa, FL
Active · expires Jan 27, 2027
CLIA Number10D2211482
Laboratory TypeAssisted Living Facility
Certificate Effective DateJanuary 28, 2025
Certificate Expiration DateJanuary 27, 2027
Laboratory DirectorEdward Santos
Laboratory Phone(813) 972-3616
Laboratory LocationArbor Village Inc13107 N 22nd St, Tampa, FL 33612
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EYEL SANTOS COMPANY
Assisted Living Facility
13107 N 22ND ST
TAMPA, FL 33612
Hillsborough County (813) 972-3616

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Arbor Village Inc's NPI number?

The NPI number for Arbor Village Inc is 1053518126. It was assigned to this organization in the NPPES registry on July 1, 2007.

Where is Arbor Village Inc located?

Arbor Village Inc is located at 13107 N 22nd St, Tampa, FL 33612. The listed phone number is (813) 972-3616.

What is Arbor Village Inc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Arbor Village Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2211482) is associated with this NPI, valid through January 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Arbor Village Inc was last updated on April 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.