Active NPI
Touched by Faith Tampa, LLC
- Assisted Living Facility
- Tampa, FL
National Provider Identifier
1013329317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL12430
- Legal business name
- TOUCHED BY FAITH TAMPA, LLC
- Practice address
- 4008 E Miller Ave
Tampa, FL 33617-7418 - Phone
- (813) 985-3539
- Fax
- (727) 202-8933
- NPI assigned
- May 21, 2014
- Organization subpart
- Yes
- Parent organization
- TOUCHED BY FAITH TAMPA, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Marcus Anderson
- Title
- Owner/Director
- Phone
- (727) 202-8932
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AL12430 | FL | Primary |
Addresses
Primary practice location
4008 E Miller Ave
Tampa, FL 33617-7418
Mailing address
1239 4TH St S
Saint Petersburg, FL 33701-5223
Phone (727) 202-8932
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010334000 | Medicaid | FL |
National Provider Directory
National Provider Directory- Part of
- Touched by Faith Tampa LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400630400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1400630400000",
"number": "1013329317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1239 4TH ST S",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337015223",
"telephone_number": "727-202-8932",
"fax_number": "727-202-8933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4008 E MILLER AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336177418",
"telephone_number": "813-985-3539",
"fax_number": "727-202-8933"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOUCHED BY FAITH TAMPA, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TOUCHED BY FAITH TAMPA, LLC",
"enumeration_date": "2014-05-21",
"last_updated": "2014-05-21",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "MARCUS",
"authorized_official_title_or_position": "OWNER/DIRECTOR",
"authorized_official_telephone_number": "727-202-8932",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "FL",
"license": "AL12430",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010334000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
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 May 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.