MAC UNLIMITED LLC NPI 1578776035

NPI Information

NPI: 1578776035
Provider Name: MAC UNLIMITED LLC

Doing Business As: MOBILE VISION SOURCE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
178 E DAVIS BLVD
TAMPA, FL
ZIP 33606
Phone: (813) 300-7839
Get Directions

MAC UNLIMITED LLC 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. MAC UNLIMITED LLC NPI is 1578776035. The provider is registered as an organization entity type.
The provider Is Doing Business As Mobile Vision Source.

The provider's business location address is:

178 E DAVIS BLVD
TAMPA, FL
ZIP 33606-514
Phone: (813) 300-7839
Fax: (813) 425-9342

The provider's authorized official is Michael Anthony Cusumano .
The authorized official title is President and has the following contact phone number (813) 300-7839.

The enumeration date for this NPI number is 5/8/2007 and was last updated on 11/16/2015.

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	License Number	License State	Primary
1	251E00000X	Home Health	OPC2471	FLORIDA	No
2	315D00000X	Hospice, Inpatient	OPC2471	FLORIDA	No
3	314000000X	Skilled Nursing Facility	OPC2471	FLORIDA	No
4	310400000X	Assisted Living Facility	OPC2471	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	AC608	OTHER	FLORIDA	PROVIDER TRASACTION ACCES
2	U14263	MEDICARE UPIN	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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