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EL PALMAR LLC NPI 1609161868


NPI Information

NPI: 1609161868
Provider Name: EL PALMAR LLC

Doing Business As: MIS ABUELOS ALF 2

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
3406 W CARACAS ST
TAMPA, FL
ZIP 33614
Phone: (813) 784-0328
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EL PALMAR 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. EL PALMAR LLC NPI is 1609161868. The provider is registered as an organization entity type.
The provider Is Doing Business As Mis Abuelos Alf 2.

The provider's business location address is:

3406 W CARACAS ST
TAMPA, FL
ZIP 33614
Phone: (813) 784-0328
Fax: (813) 405-8012

The provider's authorized official is Dagoberto Medina .
The authorized official title is Manager and has the following contact phone number (813) 784-0328.

The enumeration date for this NPI number is 6/16/2011 and was last updated on 6/20/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityAL12080FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========OTHERFLORIDAEIN
2AL12080OTHERFLORIDAASSISTED LIVING FACILITY LICENSE. AHCA

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

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