PATTY'S HOUSE 4 LLC NPI 1922401488

NPI Information

  • NPI: 1922401488
  • Provider Name: PATTY'S HOUSE 4 LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 2805 JERRY SMITH RD
    DOVER, FL
    ZIP 33527
  • Phone: (813) 752-8034

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NPI Details

PATTY'S HOUSE 4 LLC is an assisted living facility in Dover, 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. PATTY'S HOUSE 4 LLC NPI is 1922401488. The provider is registered as an organization entity type.

The provider's business location address is:

2805 JERRY SMITH RD
DOVER, FL
ZIP 33527-449
Phone: (813) 752-8034

The provider's authorized official is Tonya Mayo .
The authorized official title is Owner and has the following contact phone number (813) 742-8034.

The enumeration date for this NPI number is 9/29/2014 and was last updated on 9/29/2014.

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 FacilityAL12242FLORIDAYes

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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