Provider Profile

RENAISSANCE

Assisted Living Facility

FACILITY PROFILE

Street Address
  • 16001 LAKESHORE VILLA DRIVE
    TAMPA, FL 33613
    County: Hillsborough
  • Phone: (813) 386-1145
Mailing Address
  • 16001 LAKESHORE VILLA DRIVE
    TAMPA, FL 33613
    County: Hillsborough
  • Phone: (813) 386-1145
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Facility Information:
Facility/Provider Type:Assisted Living Facility
Administrator:PAUL ROSEN
Financial Officer:ROBERT B KARN
Owner/Licensee:CRP LAKESHORE VILLAS, L.L.C.
Owner/Licensee Since:2/27/2015

NamePositionOwnership
CRP VII MASTER HOLDINGS100%
Profit Status:For-Profit
Management Company:GREENBRIER SENIOR LIVING
Manager Since:8/1/2020

NamePositionOwnership
GREENBRIER DEVELOPMENT, LLC50%
HKMM I, LLC50%
COLE S GRAYBOARD MEMBER/OFFICER0%
DEVIN ANDERSONBOARD MEMBER/OFFICER0%
HENRY S KENDRICKBOARD MEMBER/OFFICER0%
MICHAEL MAYSBOARD MEMBER/OFFICER0%
THOMAS J NAVINBOARD MEMBER/OFFICER0%
Licensed Beds:135
Bed Types:Extended Congregate Care: 0
Private: 135
Optional State Supplement: 0
Total Capacity: 135
AHCA Number (File Number):11910038
AHCA Field Office:06
License Number:7531
Current License Effective:5/28/2023
Current License Expires:5/27/2025
License Status:LICENSED
Services/Characteristics
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:No
Continuing Care Retirement Community:No
Languages Spoken:English
Payment Forms Accepted:Other
Special Programs and Services:Memory Care
Emergency Power Plan Summary
Onsite Alternate Power Source:Fixed Generator
Emergency Power Supports:Air ConditioningEntire FacilityLife Safety SystemsLightsRefrigeration
Plan Approval:8/9/2018
Implementation Date:1/1/2019
Implementation Extended Until:1/1/2019
Cooling Method:Air ConditionerFans
Areas Cooled:Common AreasDining RoomEntire FacilityHallwayLiving roomOther AreaResident Rooms
Areas Cooled Location:Within Facility
Square Footage Cooled:76,113
Number of People to use Cooled Space:150
Legal Actions
Please note the legal actions above may have been issued to a prior owner. The Final Order displays the name of the licensee responsible for the legal action that was taken.
Date Initiated Case # Case Type Violation Fine Amount Date Imposed
Change of ownership occurred 2/27/2015
4/30/20132013005243FineSurvey$3,000.007/16/2013
5/14/20122012005350FineSurvey$5,500.0010/2/2012

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.