TUCAWILLA VILLA LLC NPI 1225499817

NPI Information

NPI: 1225499817
Provider Name: TUCAWILLA VILLA, LLC
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
995 TUSCAWILLA ROAD
WINTER SPRINGS, FL
ZIP 32708
Phone: (407) 637-0273
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TUCAWILLA VILLA, LLC is an adult care home custodial care facility in Winter Springs, FL. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. TUCAWILLA VILLA, LLC NPI is 1225499817. The provider is registered as an organization entity type.

The provider's business location address is:

995 TUSCAWILLA ROAD
WINTER SPRINGS, FL
ZIP 32708
Phone: (407) 637-0273

The provider's authorized official is Jamie M Harry .
The authorized official title is Owner/administrator and has the following contact phone number (407) 637-0273.

The enumeration date for this NPI number is 3/10/2016 and was last updated on 3/10/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	311ZA0620X	Custodial Care Facility	Adult Care Home	6906719	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6906719	OTHER	FLORIDA	AHCA LICENSE FOR ADULT FAMILY CARE HOME-
2	213000110783	OTHER	FLORIDA	BUSINESS TAX RECEIPT- FLORIDA DIVISION OF CORPORATION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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