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ELYSIAN GARDENS LLC NPI 1811653512


NPI Information

NPI: 1811653512
Provider Name: ELYSIAN GARDENS LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
312 E 124TH AVE
TAMPA, FL
ZIP 33612
Phone: (813) 932-3618
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ELYSIAN GARDENS 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. ELYSIAN GARDENS LLC NPI is 1811653512. The provider is registered as an organization entity type.

The provider's business location address is:

312 E 124TH AVE
TAMPA, FL
ZIP 33612-305
Phone: (813) 932-3618

The provider's authorized official is Alfredo Escobar .
The authorized official title is Manager and has the following contact phone number (786) 371-4396.

The enumeration date for this NPI number is 11/17/2021 and was last updated on 11/17/2021.


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 FacilityYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.