BELVEDERE COMMONS OF SUN CITY CENTER
NPI 1316377351
Assisted Living Facility in Ruskin, FL

Active since November 12, 2013CLIA 10D0953366 · Waiver
758 CORTARO DR, RUSKIN, FL 33573(813) 642-8400(813) 642-0306 Get Directions Write a Review

NPPES record last updated: December 20, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Belvedere Commons Of Sun City Center NPPES

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

BELVEDERE COMMONS OF SUN CITY CENTER (NPI 1316377351) is a healthcare organization registered as an assisted living facility in Ruskin, Florida and active in the NPI registry since November 2013. The organization holds a CLIA Waiver certificate valid through September 26, 2026 and lists Jody Marie Boedigheimer, S.v.p. Managing Agent, as its authorized official.

NPPES Registry Identity

NPI1316377351
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameFKP SUN CITY SENIOR LIVING TENANT LLC
Location Address758 CORTARO DRRuskin, FL 33573-6803
Mailing Address758 Cortaro DrRuskin, FL 33573-6803 · (813) 642-8400 · Fax (813) 642-0306
Fax(813) 642-0306
Organization SubpartNo
Authorized OfficialJody Marie BoedigheimerS.v.p. Managing Agent · (763) 971-9273
Enumeration DateNovember 12, 2013
Last NPPES UpdateDecember 20, 2019
NPI 1316377351 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 · AL9323
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.
758 CORTARO DR, Ruskin, FL 33573

Other Names 1

Doing Business AsBelvedere Commons Of Sun City Center

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 10D0953366

Belvedere Commons Of Sun City Center · Sun City Center, FL
Active · expires Sep 26, 2026
CLIA Number10D0953366
Laboratory TypeAssisted Living Facility
Certificate Effective DateSeptember 27, 2024
Certificate Expiration DateSeptember 26, 2026
Laboratory DirectorBarbara A. Jones
Laboratory Phone(813) 642-8400
Laboratory LocationBelvedere Commons Of Sun City Center758 Cortaro Dr, Sun City Center, FL 33573
CLIA data matches this NPI record on: 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.

Physical Therapy Assistant
758 CORTARO DR
RUSKIN, FL 33573

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 Fkp Sun City Senior Living Tenant LLC's NPI number?

The NPI number for Fkp Sun City Senior Living Tenant LLC is 1316377351. It was assigned to this organization in the NPPES registry on November 12, 2013. The provider is doing business as Belvedere Commons Of Sun City Center.

Where is Fkp Sun City Senior Living Tenant LLC located?

Fkp Sun City Senior Living Tenant LLC is located at 758 Cortaro Dr, Ruskin, FL 33573. The listed phone number is (813) 642-8400.

What is Fkp Sun City Senior Living Tenant LLC's specialty?

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

Does Fkp Sun City Senior Living Tenant LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0953366) is associated with this NPI, valid through September 26, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fkp Sun City Senior Living Tenant LLC was last updated on December 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.