Organization Active NPI

Tampa SNF LLC

  • Skilled Nursing Facility
  • Tampa, FL
National Provider Identifier
1073589719
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF1633096 Issued in FL
Legal business name
TAMPA SNF LLC
Practice address
2811 Campus Hill Dr
Tampa, FL 33612-9213
Phone
(954) 358-1660
NPI assigned
Feb 23, 2006
Last updated
Jul 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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

Authorized official

Name
Ron Ostroff
Title
Owner
Phone
(954) 358-1660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X SNF1633096 FL Primary

Addresses

Primary practice location

2811 Campus Hill Dr
Tampa, FL 33612-9213

Mailing address

7491 W Oakland Park Blvd
Tamarac, FL 33319-4989

Other identifiers 1

IdentifierTypeStateIssuer
030904400MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1073589719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7491 W OAKLAND PARK BLVD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333194989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 CAMPUS HILL DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336129213",
            "telephone_number": "954-358-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA SNF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-23",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "OSTROFF",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-358-1660"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1633096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030904400",
            "state": "FL"
        }
    ],
    "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 Jul 11, 2008; 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.