Healthcare Provider Details

I. General information

NPI: 1487568259
Provider Name (Legal Business Name): ARDEN COURTS 14950 CASEY ROAD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14950 CASEY RD
TAMPA FL
33624-2317
US

IV. Provider business mailing address

14950 CASEY RD
TAMPA FL
33624-2317
US

V. Phone/Fax

Practice location:
  • Phone: 813-963-6100
  • Fax: 813-908-6200
Mailing address:
  • Phone: 813-963-6100
  • Fax: 813-908-6200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311500000X
TaxonomyAlzheimer Center (Dementia Center)
License Number
License Number StateNULL

VIII. Authorized Official

Name: DENISE E WILIM
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 813-963-6100