Organization Active NPI

Tampa Health Care Associates LLC

  • Skilled Nursing Facility
  • Tampa, FL
National Provider Identifier
1003861204
Registry record updated Aug 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF15500962 Issued in FL
Legal business name
TAMPA HEALTH CARE ASSOCIATES LLC
Practice address
2916 Habana Way
Tampa, FL 33614-7108
Phone
(813) 876-5141
Fax
(813) 876-5233
NPI assigned
May 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2012

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

Authorized official

Name
Kenneth K. Ragin
Title
Manager
Phone
(813) 876-5141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X SNF15500962 FL Primary

Addresses

Primary practice location

2916 Habana Way
Tampa, FL 33614-7108

Mailing address

2916 Habana Way
Tampa, FL 33614-7108
Phone (813) 876-5141

Other identifiers 1

IdentifierTypeStateIssuer
025250600MedicaidFL

Other names 1

  • Habana Health Care Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344556800000",
    "number": "1003861204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2916 HABANA WAY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147108",
            "telephone_number": "813-876-5141",
            "fax_number": "813-876-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2916 HABANA WAY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147108",
            "telephone_number": "813-876-5141",
            "fax_number": "813-876-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA HEALTH CARE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2012-08-10",
        "status": "A",
        "authorized_official_last_name": "RAGIN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "813-876-5141"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF15500962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025250600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Habana Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; 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.