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

Annies at Noreast Lake LLC

Organization Assisted Living Facility · NPI 1972336527

Annies at Noreast Lake LLC is an Assisted Living Facility in Tampa, 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

12205 Noreast Lake Dr
Tampa, FL 33612-4072
Phone: (813) 485-0316
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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 number1972336527
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Latonia Boykins — Owner · (813) 494-7116
NPI enumeratedAugust 20, 2024
Last updated in NPPESAugust 20, 2024
Certification dateAugust 20, 2024
Mailing address13444 Canopy Creek Dr, Tampa, FL 33625-5916

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