SHARON MOORE BUTLER ALF ADMINISTRATOR NPI 1326279902

NPI Information

NPI: 1326279902
Provider Name: SHARON MOORE BUTLER, ALF ADMINISTRATOR
Classification: Assisted Living Facility - 310400000X
Entity Type: Individual
Address:
1407 E HOLLAND AVE
TAMPA, FL
ZIP 33612
Phone: (813) 972-1057
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Sharon Moore Butler, ALF ADMINISTRATOR is an assisted living facility in Tampa, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. Sharon Moore Butler, ALF ADMINISTRATOR NPI is 1326279902. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1407 E HOLLAND AVE
TAMPA, FL
ZIP 33612-913
Phone: (813) 972-1057
Fax: (813) 971-4184

The enumeration date for this NPI number is 7/31/2009 and was last updated on 7/31/2009.

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	310400000X	Assisted Living Facility		AL11483	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	080517162	OTHER	FLORIDA	DEPT OF ELDER AFFAIRS
2	692137096	MEDICAID	FLORIDA
3	692137098	MEDICAID	FLORIDA

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: 4/28/2024

NPI Synchronization or Removal

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