Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angels Senior Living Reserve at Idlewild LLC

Organization Assisted Living Facility · NPI 1205699394

Angels Senior Living Reserve at Idlewild LLC is an Assisted Living Facility in Lutz, Florida. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

18420 Exciting Idlewild Blvd
Lutz, FL 33548-4573
Phone: (813) 545-0682
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1205699394
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Bennett — Coo · (813) 545-0682
NPI enumeratedFebruary 1, 2024
Last updated in NPPESFebruary 1, 2024
Certification dateFebruary 1, 2024
Mailing address18420 Exciting Idlewild Blvd, Lutz, FL 33548-4573

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