Organization Active NPI

Memorial Day Healthcare, Inc.

  • Clinic/Center
  • Tampa, FL
National Provider Identifier
1083888192
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
HCC 6787 Issued in FL
Legal business name
MEMORIAL DAY HEALTHCARE, INC.
Practice address
5811 Memorial Hwy Ste 106
Tampa, FL 33615-5000
Phone
(813) 885-4488
NPI assigned
Apr 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Authorized official

Name
Idania Valle
Title
Director
Phone
(813) 885-4488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X HCC 6787 FL Primary

Addresses

Primary practice location

5811 Memorial Hwy Ste 106
Tampa, FL 33615-5000

Mailing address

5811 Memorial Hwy Ste 106
Tampa, FL 33615-5000

National Provider Directory

National Provider Directory

Locations

5811 Memorial Hwy
Ste 106
Tampa, FL 33615
Phone (813) 885-3037

Practitioners & affiliated clinicians

Practitioners 2

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": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1083888192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5811 MEMORIAL HWY STE 106",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336155000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5811 MEMORIAL HWY STE 106",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336155000",
            "telephone_number": "813-885-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL DAY HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "VALLE",
        "authorized_official_first_name": "IDANIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "813-885-4488"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC 6787",
            "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 Apr 18, 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.