Organization Active NPI

Adult Home Care, LLC

  • Assisted Living Facility
  • St Petersburg, FL
National Provider Identifier
1134538812
Registry record updated Aug 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL12475 Issued in FL
Legal business name
ADULT HOME CARE, LLC
Practice address
4760 8TH Ave S
St Petersburg, FL 33711-1810
Phone
(727) 321-7446
Fax
(813) 935-3192
NPI assigned
Aug 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2014

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

Authorized official

Name
Hector Salas
Title
Owner Admistrator
Phone
(727) 748-3514

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL12475 FL Primary

Addresses

Primary practice location

4760 8TH Ave S
St Petersburg, FL 33711-1810

Mailing address

4760 8TH Ave S
St Petersburg, FL 33711-1810
Phone (727) 321-7446

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407369600000",
    "number": "1134538812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 8TH AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337111810",
            "telephone_number": "727-321-7446",
            "fax_number": "813-935-3192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 8TH AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337111810",
            "telephone_number": "727-321-7446",
            "fax_number": "813-935-3192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-07",
        "last_updated": "2014-08-07",
        "status": "A",
        "authorized_official_last_name": "SALAS",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_title_or_position": "OWNER ADMISTRATOR",
        "authorized_official_telephone_number": "727-748-3514"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.