Organization Active NPI

Isidora Alf, Inc

  • Assisted Living Facility
  • Spring Hill, FL
National Provider Identifier
1073943213
Registry record updated Nov 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
10327 Issued in FL
Legal business name
ISIDORA ALF, INC
Practice address
3467 Everett Ave
Spring Hill, FL 34609
Phone
(352) 686-0019
Fax
(352) 686-0019
NPI assigned
Nov 26, 2013
Last updated
Nov 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2013

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

Authorized official

Name
Mrs. Joan M Clark
Title
Owner
Phone
(352) 686-0019

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 10327 FL Primary

Addresses

Primary practice location

3467 Everett Ave
Spring Hill, FL 34609

Mailing address

3467 Everett Ave
Spring Hill, FL 34609
Phone (352) 686-0019

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385424000000",
    "number": "1073943213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3467 EVERETT AVE",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "34609",
            "telephone_number": "352-686-0019",
            "fax_number": "352-686-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3467 EVERETT AVE",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "34609",
            "telephone_number": "352-686-0019",
            "fax_number": "352-686-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISIDORA ALF, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-26",
        "last_updated": "2013-11-26",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-686-0019",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "10327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; 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.