Active NPI
Tampa Health Care Associates LLC
- Skilled Nursing Facility
- Tampa, FL
National Provider Identifier
1003861204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- SNF15500962
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 025250600 | Medicaid | FL |
Other names 1
- Habana Health Care Center
National Provider Directory
National Provider DirectoryNPI 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.