Green Senior Care of Tampa LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GREEN SENIOR CARE OF TAMPA LLC

Practice address

1513 W Fletcher Ave
Tampa, FL 33612-3315

Phone

(855) 331-6615

Fax

(855) 638-4902

NPI assigned

Feb 14, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Dana Dewitt Scott

Title

President

Phone

(813) 731-8312

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550102400000",
    "number": "1013473024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11290 WALSINGHAM RD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337783101",
            "telephone_number": "855-331-6615",
            "fax_number": "855-638-4902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 W FLETCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336123315",
            "telephone_number": "855-331-6615",
            "fax_number": "855-638-4902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN SENIOR CARE OF TAMPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-14",
        "last_updated": "2019-02-14",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "DEWITT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-731-8312",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherice Greco, PSY. S.
• James L Greco Jr., OD
• Green Lake Village Inc
• Green Lightening Healthcare
• Green Pasture Psychiatry LLC
• Gavril S Green-Goodman, ARNP
• Adam S Green, MD
• Allison Green
• Amani Green
• April Lea Green, APRN

• Assisted Living Facility in Tampa, FL
• Providers in Tampa, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; 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.