Pertpetual Health Assisted Living Facility, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

AL11133 Issued in FL

Legal business name

PERTPETUAL HEALTH ASSISTED LIVING FACILITY, LLC

Practice address

3305 Maydell Dr
Tampa, FL 33619-6235

Phone

(813) 541-7936

Fax

(813) 620-3689

NPI assigned

Apr 16, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Bienvenido Befitil Nartatez

Title

Manager

Phone

(813) 541-7936

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1033383575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 MAYDELL DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336196235",
            "telephone_number": "813-541-7936",
            "fax_number": "813-620-3689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 MAYDELL DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336196235",
            "telephone_number": "813-541-7936",
            "fax_number": "813-620-3689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERTPETUAL HEALTH ASSISTED LIVING FACILITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "NARTATEZ",
        "authorized_official_first_name": "BIENVENIDO",
        "authorized_official_middle_name": "BEFITIL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "813-541-7936",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "AL11133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1429493 00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Michele D. Pescasio, M.D.
• Jennifer M Pesce, MD

• Health Service Clinic/Center in Tampa, FL
• Providers in Tampa, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.