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PACIFICA BG MABRY LLC
NPI 1831819523
Assisted Living Facility in Tampa, FL

Active since September 01, 2022CLIA 10D2208185 · Waiver
16702 N. DALE MABRY HIGHWAY, TAMPA, FL 33618(813) 908-2333(813) 908-3528 Get Directions Write a Review

NPPES record last updated: September 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pacifica Bg Mabry Llc NPPES

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

PACIFICA BG MABRY LLC (NPI 1831819523), doing business as Tampa Gardens Senior Living, is a healthcare organization registered as an assisted living facility in Tampa, Florida and active in the NPI registry since September 2022. The organization holds a CLIA Waiver certificate valid through January 4, 2027 and lists Deepak Israni, General Manager, as its authorized official.

NPPES Registry Identity

NPI1831819523
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePACIFICA BG MABRY LLC
Location Address16702 N. DALE MABRY HIGHWAYTampa, FL 33618-1055
Mailing Address1775 Hancock Street, Suite 200San Diego, CA 92110 · (619) 296-9000 · Fax (619) 296-9090
Phone(813) 908-2333
Fax(813) 908-3528
Organization SubpartNo
Authorized OfficialDeepak IsraniGeneral Manager · (619) 296-9000
Enumeration DateSeptember 1, 2022
NPPES CertifiedSeptember 1, 2022
✔ NPI 1831819523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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 ListedAlzheimer Center (Dementia Center)Taxonomy 311500000X
16702 N. DALE MABRY HIGHWAY, Tampa, FL 33618
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Other Names 1

Doing Business AsTampa Gardens Senior Living

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 10D2208185

Pacifica Bg Mabry LLC · Tampa, FL
Active · expires Jan 4, 2027
CLIA Number10D2208185
Laboratory TypeAssisted Living Facility
Certificate Effective DateJanuary 5, 2025
Certificate Expiration DateJanuary 4, 2027
Laboratory DirectorDeepak Israni
Laboratory Phone(813) 908-2333
Laboratory LocationPacifica Bg Mabry LLC16702 N Dale Mabry Hwy, Tampa, FL 33618
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Pacifica Bg Mabry LLC's NPI number?

The NPI number for Pacifica Bg Mabry LLC is 1831819523. It was assigned to this organization in the NPPES registry on September 1, 2022. The provider is doing business as Tampa Gardens Senior Living.

Where is Pacifica Bg Mabry LLC located?

Pacifica Bg Mabry LLC is located at 16702 N. Dale Mabry Highway, Tampa, FL 33618. The listed phone number is (813) 908-2333.

What is Pacifica Bg Mabry LLC's specialty?

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

Does Pacifica Bg Mabry LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2208185) is associated with this NPI, valid through January 4, 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 Pacifica Bg Mabry LLC was last updated on September 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.