TAMPA HOUSING AUTHORITY NPI 1669716668

NPI Information

NPI: 1669716668
Provider Name: TAMPA HOUSING AUTHORITY

Doing Business As: PALM TERRACE ASSISTED LIVING FACILITY & ADULT DAYCARE CENTER

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
5121 SERENA DR
TAMPA, FL
ZIP 33617
Phone: (813) 988-0033
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TAMPA HOUSING AUTHORITY 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. TAMPA HOUSING AUTHORITY NPI is 1669716668. The provider is registered as an organization entity type.
The provider Is Doing Business As Palm Terrace Assisted Living Facility & Adult Daycare Center.

The provider's business location address is:

5121 SERENA DR
TAMPA, FL
ZIP 33617-032
Phone: (813) 988-0033
Fax: (813) 984-9881

The provider's authorized official is Concepcion T Bretos .
The authorized official title is Manager/ceo and has the following contact phone number (305) 864-4248.

The enumeration date for this NPI number is 11/15/2012 and was last updated on 1/13/2016.

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	310400000X	Assisted Living Facility		AL10256	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	141867000	MEDICAID	FLORIDA
2	685253000	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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