NPIMap

Organization Active NPI

Assured Care Alf

  • Assisted Living Facility
  • Riverview, FL
National Provider Identifier
1003204454
Registry record updated Jan 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL12602 Issued in FL
Legal business name
ASSURED CARE ALF
Practice address
12209 Matchfield Way
Riverview, FL 33579-4027
Phone
(813) 239-7558
Fax
(813) 672-9474
NPI assigned
Jan 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carmela Hilsman
Title
Owner/Administrator
Phone
(813) 672-9474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL12602 FL Primary

Addresses

Primary practice location

12209 Matchfield Way
Riverview, FL 33579-4027

Mailing address

12209 Matchfield Way
Riverview, FL 33579-4027
Phone (813) 239-7558

National Provider Directory

National Provider Directory
Tax ID family
Assured Care Alf2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1003204454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12209 MATCHFIELD WAY",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335794027",
            "telephone_number": "813-239-7558",
            "fax_number": "813-672-9474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12209 MATCHFIELD WAY",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335794027",
            "telephone_number": "813-239-7558",
            "fax_number": "813-672-9474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSURED CARE ALF",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "HILSMAN",
        "authorized_official_first_name": "CARMELA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "813-672-9474"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.