Robert J Storerlli

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

6905599 Issued in FL

Legal business name

ROBERT J STORERLLI

Doing business as

adult family care home

Practice address

9915 Aetna LN
Port Richey, FL 34668-4058

Phone

(727) 842-8701

Fax

(727) 849-5513

NPI assigned

Dec 27, 2010

Last updated

Dec 27, 2010By 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

Mr. Robert Joseph Storelli

Title

Provider

Phone

(727) 842-8701

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• adult family care home Doing business as

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

{
    "created_epoch": "1293408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293408000000",
    "number": "1033413521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9915 AETNA LN",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346684058",
            "telephone_number": "727-842-8701",
            "fax_number": "727-849-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9915 AETNA LN",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346684058",
            "telephone_number": "727-842-8701",
            "fax_number": "727-849-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J STORERLLI",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-27",
        "last_updated": "2010-12-27",
        "status": "A",
        "authorized_official_last_name": "STORELLI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "727-842-8701",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6905599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141895500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "adult family care home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Care Home Facility in Port Richey, FL
• Providers in Port Richey, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2010; 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.