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SHADY OAKS LIVING CENTER
NPI 1699076703
Assisted Living Facility in Tampa, FL

Active since November 04, 2010
2208 E 138TH AVE, TAMPA, FL 33613(813) 978-0819(813) 425-6925 Get Directions Write a Review

NPPES record last updated: November 4, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shady Oaks Living Center NPPES

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

SHADY OAKS LIVING CENTER (NPI 1699076703) is a healthcare organization registered as an assisted living facility in Tampa, Florida and active in the NPI registry since November 2010. The organization lists Joseph Wilfred Joseph, President/administrator, as its authorized official.

NPPES Registry Identity

NPI1699076703
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSHADY OAKS LIVING CENTER
Location Address2208 E 138TH AVETampa, FL 33613-4435
Mailing AddressPo Box 280339Tampa, FL 33682-0339 · (813) 978-0819 · Fax (813) 425-6925
Phone(813) 978-0819
Fax(813) 425-6925
Organization SubpartNo
Authorized OfficialJoseph Wilfred JosephPresident/administrator · (813) 978-0819
Enumeration DateNovember 4, 2010
✔ NPI 1699076703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in FL · AL 8450
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.
Also ListedAssisted Living Facility · Assisted Living, Mental IllnessTaxonomy 3104A0625X · License AL 8450 (FL)
2208 E 138TH AVE, Tampa, FL 33613
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Other Identifiers 1

Medicaid140792900FL

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 Shady Oaks Living Center's NPI number?

The NPI number for Shady Oaks Living Center is 1699076703. It was assigned to this organization in the NPPES registry on November 4, 2010.

Where is Shady Oaks Living Center located?

Shady Oaks Living Center is located at 2208 E 138th Ave, Tampa, FL 33613. The listed phone number is (813) 978-0819.

What is Shady Oaks Living Center'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 Shady Oaks Living Center was last updated on November 4, 2010. 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.