Provider Profile
ANGELS SENIOR LIVING AT NEW TAMPA LLC
Assisted Living Facility
FACILITY PROFILE
Street Address
- 14712 N 42ND ST
TAMPA, FL 33613-2955
County: Hillsborough - Phone: (813) 632-6370
Mailing Address
- 14712 N 42ND ST
TAMPA, FL 33613-2955
County: Hillsborough - Phone: (813) 632-6370
AHCA Reports
Inspection ReportsInspection Details
Consumer Guides
Assisted Living in FloridaLong-Term Care
Patient Safety
Health Care Advance Directives
Facility Information:
| Facility/Provider Type: | Assisted Living Facility | |||||||||
| Administrator: | YVETTE M. LATSON | |||||||||
| Financial Officer: | JAMES W EYER JR | |||||||||
| Owner/Licensee: | ANGELS SENIOR LIVING AT NEW TAMPA, LLC | |||||||||
| Owner/Licensee Since: | 10/16/2014 | |||||||||
| ||||||||||
| Profit Status: | For-Profit | |||||||||
| Management Company: | ANGELS CARE HEALTH SYSTEMS, LLC | |||||||||
| Manager Since: | 3/13/2014 | |||||||||
| ||||||||||
| Licensed Beds: | 100 | |||||||||
| Bed Types: | Extended Congregate Care: 100 Total Capacity: 100 Private: 100 Optional State Supplement: 0 | |||||||||
| AHCA Number (File Number): | 11968636 | |||||||||
| AHCA Field Office: | 06 | |||||||||
| License Number: | 12507 | |||||||||
| Current License Effective: | 1/14/2025 | |||||||||
| Current License Expires: | 1/13/2027 | |||||||||
| License Status: | LICENSED | |||||||||
Services/Characteristics
| Medicaid Services: | Assistive Care Services |
| Specialty License: | Extended Congregate CareLimited Mental Health |
| Activities: | Arts and CraftsCooking ClassesDancingExercise ClassesGames/CardsGardeningMusic ProgramsShoppingSocial Events/OutingsTheater and Movies |
| Bed Hold Policy: | Facility will hold beds during a temporary absence |
| Adult Day Care Services: | Yes |
| Continuing Care Retirement Community: | No |
| Languages Spoken: | English |
| Nurse Availability: | 3rd Party 24hrDirect 24hrDirect Part-Time |
| Payment Forms Accepted: | Insurance and/or HMOMedicaidVA |
| Special Programs and Services: | Memory CareOccupational TherapyPhysical TherapySpeech Therapy |
Emergency Power Plan Summary
| Onsite Alternate Power Source: | Fixed Generator |
| Emergency Power Supports: | Air ConditioningLightsRefrigeration |
| Plan Approval: | 11/6/2017 |
| Implementation Date: | 5/24/2018 |
| Cooling Method: | Air ConditionerSpot Coolers |
| Areas Cooled: | Dining RoomHallwayOther Area |
| Areas Cooled Location: | Within Facility |
| Square Footage Cooled: | 1600 |
| Number of People to use Cooled Space: | 80 |
Legal Actions
| Date Initiated | Case # | Case Type | Violation | Fine Amount | Date Imposed |
|---|---|---|---|---|---|
| 5/26/2015 | 2015005289 | Fine | Survey | $500.00 | 10/1/2015 |
| 3/9/2015 | 2015002970 | Fine | Survey | $500.00 | 10/1/2015 |
| Change of ownership occurred 10/16/2014 | |||||
Important information and facility/provider definitions can be found in the Glossary.
Attn Providers: Requests for changes in data must be sent in writing to the AHCA licensing office.