Organization Active NPI

Racky Children Care, Inc

  • Pediatric Skilled Nursing Facility
  • Tampa, FL
National Provider Identifier
1053916478
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
Legal business name
RACKY CHILDREN CARE, INC
Practice address
14523 Bruce B Downs Blvd Building 4 Ste 403
Tampa, FL 33613-6501
Phone
(786) 340-0094
NPI assigned
Dec 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Authorized official

Name
Nadiecha Alvarez
Title
President
Phone
(786) 340-0094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Skilled Nursing Facility 3140N1450X Primary

Addresses

Primary practice location

14523 Bruce B Downs Blvd Building 4 Ste 403
Tampa, FL 33613-6501

Mailing address

14523 Bruce B Downs Blvd Building 4 Ste 403
Tampa, FL 33613-6501
Phone (786) 340-0094

National Provider Directory

National Provider Directory

Locations

14523 Bruce B Downs Blvd
Ste 403
Tampa, FL 33613
Phone (786) 340-0094

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624579200000",
    "number": "1053916478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14523 BRUCE B DOWNS BLVD BUILDING 4 STE 403",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336136501",
            "telephone_number": "786-340-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14523 BRUCE B DOWNS BLVD BUILDING 4 STE 403",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336136501",
            "telephone_number": "786-340-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACKY CHILDREN CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-02",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "NADIECHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-340-0094"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": null,
            "license": null,
            "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 Jun 25, 2021; 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.