Organization Active NPI

Tambolina Adult Day Care

Doing business as Tambolina Day Center

  • Adult Day Care Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1083220560
Registry record updated Sep 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
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

Updated by the provider on Sep 19, 2020

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.