NPIMap

Organization Active NPI

Justin Family a.L.F. LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Tampa, FL
National Provider Identifier
1043634876
Registry record updated May 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
AL11790 Issued in FL
Legal business name
JUSTIN FAMILY A.L.F. LLC
Practice address
10103 Bay Wind CT
Tampa, FL 33615-2634
Phone
(813) 735-3600
Fax
(813) 405-4149
NPI assigned
Feb 14, 2014
Last updated
May 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2015

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

Authorized official

Name
Manuel BritoNPI 1235508169
Title
Owner/Administrator
Phone
(813) 735-3600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X AL11790 FL Primary

Addresses

Primary practice location

10103 Bay Wind CT
Tampa, FL 33615-2634

Mailing address

10103 Bay Wind CT
Tampa, FL 33615-2634
Phone (813) 735-3600

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1392336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432771200000",
    "number": "1043634876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10103 BAY WIND CT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336152634",
            "telephone_number": "813-735-3600",
            "fax_number": "813-405-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10103 BAY WIND CT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336152634",
            "telephone_number": "813-735-3600",
            "fax_number": "813-405-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN FAMILY A.L.F. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-14",
        "last_updated": "2015-05-28",
        "status": "A",
        "authorized_official_last_name": "BRITO",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "813-735-3600"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "FL",
            "license": "AL11790",
            "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 28, 2015; 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.