Organization
16001 LAKESHORE VILLA DRIVE OPCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL SIMON (AUTHORIZED OFFICIAL)
(419) 247-2800
Entity
Organization
Contact information
Practice address
16001 LAKESHORE VILLA DR, TAMPA, FL 33613-1336
(813) 386-1145
Mailing address
4500 DORR ST, TOLEDO, OH 43615-4040
(419) 247-2800
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/23/2025
Last updated
10/23/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us