NPIMap

Organization Active NPI

Wellness Care Center

Doing business as Wellswood Care Center

  • Assisted Living Facility
  • Tampa, FL
National Provider Identifier
1013331297
Registry record updated Feb 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL11059 Issued in FL
Legal business name
WELLNESS CARE CENTER
Doing business as
Wellswood Care Center
Practice address
907 Clanton Ave
Tampa, FL 33603-1703
Phone
(813) 232-2127
Fax
(813) 232-2063
NPI assigned
Feb 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2014

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

Authorized official

Name
Mrs. Oluwakemi Esther Olusanya
Title
Administrator
Phone
(813) 232-2127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL11059 FL Primary

Addresses

Primary practice location

907 Clanton Ave
Tampa, FL 33603-1703

Mailing address

907 Clanton Ave
Tampa, FL 33603-1703
Phone (813) 232-2127

Other identifiers 1

IdentifierTypeStateIssuer
005363100MedicaidFL

Other names 1

  • Wellswood 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": "1391990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391990400000",
    "number": "1013331297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 CLANTON AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336031703",
            "telephone_number": "813-232-2127",
            "fax_number": "813-232-2063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 CLANTON AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336031703",
            "telephone_number": "813-232-2127",
            "fax_number": "813-232-2063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-10",
        "last_updated": "2014-02-10",
        "status": "A",
        "authorized_official_last_name": "OLUSANYA",
        "authorized_official_first_name": "OLUWAKEMI",
        "authorized_official_middle_name": "ESTHER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-232-2127",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005363100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellswood 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 Feb 10, 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.