CONCORDIA VILLAGE OF TAMPA
NPI 1710493705
Skilled Nursing Facility in Tampa, FL

Q: What is Concordia Of Florida, Inc.'s NPI number?

The NPI number for Concordia Of Florida, Inc. is 1710493705. It was assigned to this organization in the NPPES registry on December 28, 2017. The provider is doing business as Concordia Village Of Tampa.

Q: What is Concordia Of Florida, Inc.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Q: What quality rating does Concordia Of Florida, Inc. have?

CMS rates Concordia Village Of Tampa 2 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

Active since December 28, 2017CLIA Certified · 2 labs

2/5

Overall Rating

4100 E FLETCHER AVE, TAMPA, FL 33613(813) 632-2455(813) 632-2456 Get Directions Write a Review

NPPES record last updated: March 13, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 13, 2018, Feb 12, 2018, Dec 28, 2017 (3 updates tracked since 2017).

On this page

About Concordia Village Of Tampa NPPES

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

CONCORDIA VILLAGE OF TAMPA (NPI 1710493705) is a healthcare organization registered as a skilled nursing facility in Tampa, Florida and active in the NPI registry since December 2017. The organization holds 2 active CLIA laboratory certificates and lists Brian Hortert, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1710493705

Entity TypeOrganization

Primary Taxonomy314000000X

Legal Business NameCONCORDIA OF FLORIDA, INC.

Location Address4100 E FLETCHER AVETampa, FL 33613-4864

Mailing Address134 Marwood RdCabot, PA 16023-2206 · (724) 352-1571 · Fax (724) 352-2740

Phone(813) 632-2455

Fax(813) 632-2456

Organization SubpartNo

Authorized OfficialBrian HortertChief Operating Officer · (724) 352-1571

Enumeration DateDecember 28, 2017

Last NPPES UpdateMarch 13, 20183 updates tracked since enumeration

✔ NPI 1710493705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities

Taxonomy Code314000000X

Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

4100 E FLETCHER AVE, Tampa, FL 33613

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Other Names 1

Doing Business AsConcordia Village Of Tampa

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 10D2135839

Concordia Village Of Tampa · Tampa, FL

Active · expires Aug 28, 2027

CLIA Number10D2135839

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateAugust 29, 2025

Certificate Expiration DateAugust 28, 2027

Laboratory DirectorFaith Regan

Laboratory Phone(813) 632-2455

Laboratory LocationConcordia Village Of Tampa4100 East Fletcher Avenue, Tampa, FL 33613

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D0685572

Concordia Village Of Tampa · Tampa, FL

Active · expires Aug 31, 2026

CLIA Number10D0685572

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorLisa V. Lyons

Laboratory Phone(813) 632-2455

Laboratory LocationConcordia Village Of Tampa4100 E Fletcher Ave, Tampa, FL 33613

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Concordia Village Of Tampa (CMS certification number 105351), from CMS Care Compare.

Concordia Village Of Tampa

Nursing home · Tampa, FL

2/5 CMS Overall Rating

OwnershipNon profit - Church related

CMS Certification Number105351

Certified Beds163 beds56 residents per day on average

Medicare & Medicaid Participant SinceMay 17, 1979

Resident & Family CouncilResident council

Continuing care retirement community Automatic sprinkler system

CMS Star Ratings

Quality Measures

Based on a select set of clinical quality measures.

4/5

Long-Stay Quality

Quality of care delivered to long-term residents.

4/5

Short-Stay Quality

Quality of care delivered to short-term and rehabilitation residents.

5/5

Staffing

Based on nursing staff hours relative to resident needs.

2/5

Weighted Health Inspection Score

Lower scores are better; the score summarizes deficiencies found on recent inspections.

81.83

Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing

nurse aide 2.13 · LPN 0.66 · RN 0.75

3.54 hrs per resident per day

Weekend Nurse Staffing

3.31 hrs per resident per day

Physical Therapist Staffing

0.07 hrs per resident per day

Nursing Staff Turnover

Share of nursing staff who left the facility within the past year.

55.9%

Registered Nurse Turnover

68.8%

Administrators Who Have Left

In the past year.

Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents

Substantiated Complaints

Infection-Control Citations

Fines

2 totaling $40,010.50

Medicare Payment Denials

Total Penalties

Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 9

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

HAYDY KOZMAN

Physical Therapist