Organization Active NPI

Consolidated Group of Tampa Inc

  • Skilled Nursing Facility
  • Tampa, FL
National Provider Identifier
1124029863
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CONSOLIDATED GROUP OF TAMPA INC
Practice address
1709 N Taliaferro Ave
Tampa, FL 33602-2543
Phone
(813) 223-4623
Fax
(813) 223-3718
NPI assigned
Aug 3, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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

Authorized official

Name
Mr. Joseph D. Mitchell
Title
Treasurer
Phone
(850) 386-2831

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X FL Primary

Addresses

Primary practice location

1709 N Taliaferro Ave
Tampa, FL 33602-2543

Mailing address

2123 Centre Pointe Blvd
Tallahassee, FL 32308-4930
Phone (850) 386-2831

Other identifiers 1

IdentifierTypeStateIssuer
021216400MedicaidFL

Other names 1

  • Ybor City Healthcare & Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1124029863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 CENTRE POINTE BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084930",
            "telephone_number": "850-386-2831",
            "fax_number": "850-386-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 N TALIAFERRO AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336022543",
            "telephone_number": "813-223-4623",
            "fax_number": "813-223-3718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSOLIDATED GROUP OF TAMPA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-03",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "850-386-2831",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021216400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ybor City Healthcare & Rehabilitation Center",
            "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 Mar 18, 2014; 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.