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SUNRISE VILLAGE
NPI 1386087351
Assisted Living Facility in Tampa, FL

Active since April 09, 2013
11722 N 17TH ST, TAMPA, FL 33612(813) 971-8072(813) 972-9664 Get Directions Write a Review

NPPES record last updated: April 9, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sunrise Village NPPES

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

SUNRISE VILLAGE (NPI 1386087351) is a healthcare organization registered as an assisted living facility in Tampa, Florida and active in the NPI registry since April 2013. The organization lists Howard Jaffe, President, as its authorized official.

NPPES Registry Identity

NPI1386087351
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSENIOR HEALTH TLTC, LLC
Location Address11722 N 17TH STTampa, FL 33612-5434
Mailing Address11722 N 17th StTampa, FL 33612-5434 · (813) 971-8072 · Fax (813) 972-9664
Phone(813) 971-8072
Fax(813) 972-9664
Organization SubpartNo
Authorized OfficialHoward JaffePresident · (215) 346-6454
Enumeration DateApril 9, 2013
✔ NPI 1386087351 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 · AL5898
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.
11722 N 17TH ST, Tampa, FL 33612
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Other Names 1

Doing Business AsSunrise Village

Other Identifiers 1

Medicaid687721400FL

Other Providers at the Same Location NPPES 3

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

COLONIAL ASSISTED LIVING TAMPA LLC
Assisted Living Facility
11722 N 17TH ST
TAMPA, FL 33612
Hillsborough County (727) 697-9920
ELIZABETH ESTHER BEILSMITH LCSW
Social Worker (Clinical)
11722 N 17TH ST
TAMPA, FL 33612
Hillsborough County (813) 971-8032
NORTH TAMPA ASSISTED LIVING FACILITY LLC.
Assisted Living Facility
11722 N 17TH ST
TAMPA, FL 33612
Hillsborough County (813) 610-5044

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 Senior Health Tltc, LLC's NPI number?

The NPI number for Senior Health Tltc, LLC is 1386087351. It was assigned to this organization in the NPPES registry on April 9, 2013. The provider is doing business as Sunrise Village.

Where is Senior Health Tltc, LLC located?

Senior Health Tltc, LLC is located at 11722 N 17th St, Tampa, FL 33612. The listed phone number is (813) 971-8072.

What is Senior Health Tltc, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Senior Health Tltc, LLC was last updated on April 9, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.