Organization Active NPI

Mickeycareplus Service LLC

  • Assisted Living Facility
  • Tampa, FL
National Provider Identifier
1134746381
Registry record updated Jul 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MICKEYCAREPLUS SERVICE LLC
Practice address
1717 E Cayuga St
Tampa, FL 33610-6025
Phone
(813) 412-9959
Fax
(813) 435-2152
NPI assigned
Jul 2, 2020
Organization subpart
Yes
Parent organization
MICKEYCAREPLUS SERVICE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 3, 2020

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

Authorized official

Name
Miss Emily Jean Murphy
Title
Director
Phone
(813) 412-9959

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1717 E Cayuga St
Tampa, FL 33610-6025

Mailing address

1717 E Cayuga St
Tampa, FL 33610-6025
Phone (813) 412-9959

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593734400000",
    "number": "1134746381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 E CAYUGA ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336106025",
            "telephone_number": "813-412-9959",
            "fax_number": "813-435-2152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 E CAYUGA ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336106025",
            "telephone_number": "813-412-9959",
            "fax_number": "813-435-2152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICKEYCAREPLUS SERVICE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MICKEYCAREPLUS SERVICE LLC",
        "enumeration_date": "2020-07-02",
        "last_updated": "2020-07-03",
        "certification_date": "2020-07-03",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "813-412-9959",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 3, 2020; 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.