NPIMap

Organization Active NPI

Dolphin House Assisted Living Facility

  • Assisted Living Facility
  • Seminole, FL
National Provider Identifier
1124465190
Registry record updated May 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
8285 Issued in FL
Legal business name
DOLPHIN HOUSE ASSISTED LIVING FACILITY
Practice address
9670 134TH Street N.
Seminole, FL 33776
Phone
(727) 596-3266
Fax
(727) 596-3266
NPI assigned
May 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2013

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

Authorized official

Name
Mr. Rosauro B. Balderama
Title
Administrator
Phone
(727) 596-3266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 8285 FL Primary

Addresses

Primary practice location

9670 134TH Street N.
Seminole, FL 33776

Mailing address

9670 134TH Street N.
Seminole, FL 33776
Phone (727) 596-3266

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1369872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369872000000",
    "number": "1124465190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9670 134TH STREET N.",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "33776",
            "telephone_number": "727-596-3266",
            "fax_number": "727-596-3266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9670 134TH STREET N.",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "33776",
            "telephone_number": "727-596-3266",
            "fax_number": "727-596-3266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOLPHIN HOUSE ASSISTED LIVING FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-30",
        "last_updated": "2013-05-30",
        "status": "A",
        "authorized_official_last_name": "BALDERAMA",
        "authorized_official_first_name": "ROSAURO",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-596-3266",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "8285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seminole, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; 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.