Organization Active NPI

Zach Adult Family Care Home

  • Adult Care Home Facility
  • Tampa, FL
National Provider Identifier
1134735350
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
ZACH ADULT FAMILY CARE HOME
Doing business as
Zach Adult Family Care Home
Practice address
3220 Lindell Ave
Tampa, FL 33610-7862
Phone
(813) 732-2350
NPI assigned
Sep 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Zachee MerisierNPI 1528390655
Title
Owner
Phone
(813) 732-2350

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

3220 Lindell Ave
Tampa, FL 33610-7862

Mailing address

3220 Lindell Ave
Tampa, FL 33610-7862
Phone (813) 732-2350

Other identifiers 1

IdentifierTypeStateIssuer
103950800MedicaidFL

Other names 1

  • Zach Adult Family Care Home Doing business as

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": "1600732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1134735350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 LINDELL AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336107862",
            "telephone_number": "813-732-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 LINDELL AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336107862",
            "telephone_number": "813-732-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZACH ADULT FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-22",
        "last_updated": "2023-09-06",
        "certification_date": "2020-10-23",
        "status": "A",
        "authorized_official_last_name": "MERISIER",
        "authorized_official_first_name": "ZACHEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-732-2350"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103950800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zach Adult Family Care Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Zach Adult Family Care Home",
            "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 Sep 6, 2023; 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.