ANGELS SENIOR LIVING AT THE LODGES OF IDLEWILD, LLC
NPI 1730631284
Assisted Living Facility in Lutz, FL
About Angels Senior Living At The Lodges Of Idlewild, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANGELS SENIOR LIVING AT THE LODGES OF IDLEWILD, LLC (NPI 1730631284) is a healthcare organization registered as an assisted living facility in Lutz, Florida and active in the NPI registry since November 2016. The organization holds a CLIA Waiver certificate valid through November 30, 2026 and lists Robert Bennett, Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 10D2202835
Angels Senior Living The Lodges · Lutz, FLFrequently 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 Angels Senior Living At The Lodges Of Idlewild, LLC's NPI number?
The NPI number for Angels Senior Living At The Lodges Of Idlewild, LLC is 1730631284. It was assigned to this organization in the NPPES registry on November 1, 2016.
Where is Angels Senior Living At The Lodges Of Idlewild, LLC located?
Angels Senior Living At The Lodges Of Idlewild, LLC is located at 18440 Exciting Idlewild Blvd, Lutz, FL 33548. The listed phone number is (813) 264-8200.
What is Angels Senior Living At The Lodges Of Idlewild, LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Angels Senior Living At The Lodges Of Idlewild, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2202835) is associated with this NPI, valid through November 30, 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 Angels Senior Living At The Lodges Of Idlewild, LLC was last updated on November 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Angels Senior Living At The Lodges Of Idlewild, Llc · NPI 1730631284
Assisted Living Facility organization in Lutz, Florida. Organization record, active in the CMS NPPES registry since November 1, 2016.
## Identity
- **NPI:** 1730631284 (Entity type: Organization)
- **Enumerated:** November 1, 2016
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Organization subpart:** No
- **Authorized official:** Robert Bennett, OFFICER
## Practice location
- **Address:** 18440 EXCITING IDLEWILD BLVD, Lutz, FL 33548-4573
- **Phone:** (813) 264-8200
## Record status
- **NPPES last updated:** November 1, 2016
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1730631284) · Data from the CMS NPPES public registry.