NPIMap

Organization Active NPI

Jenny's Assisted Living Facility, Inc.

  • Assisted Living Facility
  • Tampa, FL
National Provider Identifier
1043570062
Registry record updated May 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL11889 Issued in FL
Legal business name
JENNY'S ASSISTED LIVING FACILITY, INC.
Practice address
4534 Hampshire Rd
Tampa, FL 33634-7328
Phone
(813) 210-0982
NPI assigned
May 23, 2012
Last updated
May 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2012

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

Authorized official

Name
Jenny M Segarra
Title
Vice-President
Phone
(813) 210-0982

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL11889 FL Primary

Addresses

Primary practice location

4534 Hampshire Rd
Tampa, FL 33634-7328

Mailing address

16116 Tampa St
Lutz, FL 33548-6125
Phone (813) 210-0982

National Provider Directory

National Provider Directory
Tax ID family
Jenny's Assisted Living Facility2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337731200000",
    "number": "1043570062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16116 TAMPA ST",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335486125",
            "telephone_number": "813-210-0982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4534 HAMPSHIRE RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336347328",
            "telephone_number": "813-210-0982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNY'S ASSISTED LIVING FACILITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-23",
        "last_updated": "2012-05-23",
        "status": "A",
        "authorized_official_last_name": "SEGARRA",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "813-210-0982"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 23, 2012; 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.