Organization Active NPI

Reaction Resources Inc

  • Assisted Living Facility
  • Tampa, FL
National Provider Identifier
1104401363
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
REACTION RESOURCES INC
Practice address
5110 Peachgreen CT
Tampa, FL 33624-4877
Phone
(813) 504-6072
Fax
(813) 504-6072
NPI assigned
Mar 9, 2021
Organization subpart
Yes
Parent organization
REACTION RESOURCES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Authorized official

Name
Phyllis Skannal
Title
Administrator
Phone
(813) 504-6072

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

5110 Peachgreen CT
Tampa, FL 33624-4877

Mailing address

5110 Peachgreen CT
Tampa, FL 33624-4877
Phone (813) 504-6072

Other practice location 1

5110 Peachgreen Ct
Tampa, FL 33624-4877
Phone (813) 504-6072

Other identifiers 1

IdentifierTypeStateIssuer
031077062680MedicaidFL

Other names 1

  • Paradise Of Adoration Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pskannal@paradiseofadoration.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Reaction Resources Inc2 organizations share this tax ID, including this one
Part of
Reaction Resources Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617321600000",
    "number": "1104401363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5110 PEACHGREEN CT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336244877",
            "telephone_number": "813-504-6072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5110 PEACHGREEN CT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336244877",
            "telephone_number": "813-504-6072",
            "fax_number": "813-504-6072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5110 Peachgreen Ct",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336244877",
            "country_code": "US",
            "telephone_number": "813-504-6072",
            "fax_number": "813-605-8295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REACTION RESOURCES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REACTION RESOURCES INC",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A",
        "authorized_official_last_name": "SKANNAL",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-504-6072"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031077062680",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pskannal@paradiseofadoration.com",
            "affiliation": "N",
            "endpointDescription": "No additional info",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Connect URL",
            "address_1": "5110 Peachgreen Ct",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336244877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Paradise Of Adoration",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 2, 2021; 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.