Organization Active NPI

Touched by Faith Tampa, LLC

  • Assisted Living Facility
  • Tampa, FL
National Provider Identifier
1013329317
Registry record updated May 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL12430 Issued in FL
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, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 21, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
010334000MedicaidFL

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.

Verify at the official NPI Registry.