TWIN CREEKS ASSISTED LIVING & MEMORY CARE
NPI 1376023945
Assisted Living Facility in Riverview, FL

Active since August 14, 2018CLIA 10D2135018 · Waiver
13470 BOYETTE RD, RIVERVIEW, FL 33569(813) 278-5800(813) 278-5906 Get Directions Write a Review

NPPES record last updated: August 14, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Twin Creeks Assisted Living & Memory Care NPPES

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

TWIN CREEKS ASSISTED LIVING & MEMORY CARE (NPI 1376023945) is a healthcare organization registered as an assisted living facility in Riverview, Florida and active in the NPI registry since August 2018. The organization holds a CLIA Waiver certificate valid through August 13, 2027 and lists Amy Van Kleeck, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1376023945
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameLITHIA ASSISTED LIVING LLC
Location Address13470 BOYETTE RDRiverview, FL 33569
Mailing Address13470 Boyette RdRiverview, FL 33569-5706 · (813) 278-5800 · Fax (813) 278-5906
Fax(813) 278-5906
Organization SubpartNo
Authorized OfficialAmy Van KleeckExecutive Director · (813) 278-5800
Enumeration DateAugust 14, 2018
NPI 1376023945 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 · 13122
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.
13470 BOYETTE RD, Riverview, FL 33569

Other Names 1

Doing Business AsTwin Creeks Assisted Living & Memory Care

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 10D2135018

Twin Creeks Assisted Living & Memory Care · Riverview, FL
Active · expires Aug 13, 2027
CLIA Number10D2135018
Laboratory TypeAssisted Living Facility
Certificate Effective DateAugust 14, 2025
Certificate Expiration DateAugust 13, 2027
Laboratory DirectorShane Potter
Laboratory Phone(813) 551-2333
Laboratory LocationTwin Creeks Assisted Living & Memory Care13470 Boyette Road, Riverview, FL 33569
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Speech-Language Pathologist
13470 BOYETTE RD
RIVERVIEW, FL 33569
Occupational Therapy Assistant
13470 BOYETTE RD
RIVERVIEW, FL 33569
Occupational Therapy Assistant
13470 BOYETTE RD
RIVERVIEW, FL 33569
Physical Therapy Assistant
13470 BOYETTE RD
RIVERVIEW, FL 33569

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 Lithia Assisted Living LLC's NPI number?

The NPI number for Lithia Assisted Living LLC is 1376023945. It was assigned to this organization in the NPPES registry on August 14, 2018. The provider is doing business as Twin Creeks Assisted Living & Memory Care.

Where is Lithia Assisted Living LLC located?

Lithia Assisted Living LLC is located at 13470 Boyette Rd, Riverview, FL 33569. The listed phone number is (813) 278-5800.

What is Lithia Assisted Living LLC's specialty?

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

Does Lithia Assisted Living LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2135018) is associated with this NPI, valid through August 13, 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 Lithia Assisted Living LLC was last updated on August 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.