Active NPI
Tambolina Adult Day Care
Doing business as Tambolina Day Center
- Adult Day Care Clinic/Center
- Jacksonville, FL
National Provider Identifier
1083220560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- TAMBOLINA ADULT DAY CARE
- Doing business as
- Tambolina Day Center
- Practice address
- 1627 Rogero Rd Ste C
Jacksonville, FL 32211-4866 - Phone
- (904) 553-1013
- Fax
- (904) 240-0309
- NPI assigned
- Sep 19, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Linda Fuster Momorie
- Title
- Administrator
- Phone
- (904) 651-1310
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
1627 Rogero Rd Ste C
Jacksonville, FL 32211-4866
Mailing address
1627 Rogero Rd Ste C
Jacksonville, FL 32211-4866
Phone (904) 553-1013
Other names 1
- TAMBOLINA DAY CENTER
National Provider Directory
National Provider DirectoryLocations
1627 Rogero Rd
Ste C
Jacksonville, FL 32211
Phone (904) 553-1013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600473600000",
"number": "1083220560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1627 ROGERO RD STE C",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322114866",
"telephone_number": "904-553-1013",
"fax_number": "904-240-0309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1627 ROGERO RD STE C",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322114866",
"telephone_number": "904-553-1013",
"fax_number": "904-240-0309"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TAMBOLINA ADULT DAY CARE",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-19",
"last_updated": "2020-09-19",
"certification_date": "2020-09-19",
"status": "A",
"authorized_official_last_name": "MOMORIE",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "FUSTER",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "904-651-1310",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "TAMBOLINA DAY CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jacksonville, FL
- Tama Support Services Inc.
- Mernamie Castardo Taman, ARNP/NURSE PRACTITIO
- Robi E Tamargo, PSYD
- Christine Alexis Tamayo, MD
- Jesus Tamayo, COTA
- Tambolina Adult Day Care Center (Tambolina Adult Day Care Center, Inc)
- Tambolina Services Community Resident Home, Inc
- Tambolina Services, Inc
- Lynne Tamplin, PT
- Allura Kaylen Tan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.