JUDITH'S ASSISTED LIVING FACILITY INC NPI 1831520246

NPI Information

  • NPI: 1831520246
  • Provider Name: JUDITH'S ASSISTED LIVING FACILITY, INC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: YUDITH'S ALF
  • CLIA Number: 10D2213944
  • Address: 4542 WEST HIAWATHA STREET
    TAMPA, FL
    ZIP 33614
  • Phone: (813) 453-4542

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NPI Details

JUDITH'S ASSISTED LIVING FACILITY, INC 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. JUDITH'S ASSISTED LIVING FACILITY, INC NPI is 1831520246. The provider is registered as an organization entity type.
The provider Is Doing Business As Yudith's Alf.

The provider's business location address is:

4542 WEST HIAWATHA STREET
TAMPA, FL
ZIP 33614
Phone: (813) 453-4542
Fax: (813) 412-7830

The provider's authorized official is Ruben Domoguez .
The authorized official title is Administrator and has the following contact phone number (813) 453-2480.

The CLIA number assigned to this NPI record is 10D2213944 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/11/2013 and was last updated on 12/11/2013.

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
1310400000XAssisted Living Facility9484FLORIDAYes

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: 11/21/2025

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