Judith's Assisted Living Facility, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

10958 Issued in FL

Legal business name

JUDITH'S ASSISTED LIVING FACILITY, INC

Doing business as

dba YUDITH'S ASSISTED LIVING FACILITY II

Practice address

4415 W Jean St
Tampa, FL 33614-3608

Phone

(813) 453-2480

NPI assigned

Mar 29, 2014

Organization subpart

No

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

Authorized official

Name

Ruben Dominguez

Title

Administrator

Phone

(813) 453-2480

Specialties & licenses 1

Addresses

Other names 1

• dba YUDITH'S ASSISTED LIVING FACILITY II Doing business as

Tax ID family

Dba Yudith's Assisted Living Facility II2 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.

• Judith's Assisted Living Facility, Inc

  dba Yudith's Alf

  • Assisted Living Facility
  • Tampa, FL
  • NPI 1831520246
  NPD tax ID

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

{
    "created_epoch": "1396051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396051200000",
    "number": "1043638950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4415 W JEAN ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143608",
            "telephone_number": "813-453-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 W JEAN ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143608",
            "telephone_number": "813-453-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDITH'S ASSISTED LIVING FACILITY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-29",
        "last_updated": "2014-03-29",
        "status": "A",
        "authorized_official_last_name": "DOMINGUEZ",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-453-2480"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "10958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba YUDITH'S ASSISTED LIVING FACILITY II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Judd
• Scott D Judd, MD
• Sonali Kiran Judd, MD
• Lynette Judge
• April Judice, B.A
• Judith's Assisted Living Facility, Inc (Yudith's Alf)
• Tristen Judy, MSW
• Diana Julbe-Delgado, M.S., CCC-SLP
• Sabia Janae Jules
• Julia Barriga M.D., P.a.

• 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 Mar 29, 2014; 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.