Tampa JCC / Federation Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL8679 Issued in FL

Legal business name

TAMPA JCC / FEDERATION INC.

Practice address

13005 Community Campus Dr
Tampa, FL 33625-4000

Phone

(813) 969-1818

Fax

(813) 265-2901

NPI assigned

May 1, 2009

Last updated

Dec 16, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jared Resnick

Title

Controller

Phone

(813) 769-4720

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Weinberg Village Other name

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

{
    "created_epoch": "1241136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671148800000",
    "number": "1023252210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13005 COMMUNITY CAMPUS DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336254000",
            "telephone_number": "813-969-1818",
            "fax_number": "813-265-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13005 COMMUNITY CAMPUS DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336254000",
            "telephone_number": "813-969-1818",
            "fax_number": "813-265-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA JCC / FEDERATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-01",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A",
        "authorized_official_last_name": "RESNICK",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "813-769-4720"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL8679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112512300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Weinberg Village",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Weinberg Village",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• 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 Dec 16, 2022; 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.