Hacienda Villas Alf

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12164 Issued in FL

Legal business name

HACIENDA VILLAS ALF

Practice address

1510 E Palm Ave
Tampa, FL 33605-3715

Phone

(813) 247-3339

NPI assigned

Oct 12, 2012

Organization subpart

No

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

Authorized official

Name

Lina Zuluaga

Title

Business Manager

Phone

(813) 223-2686

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350000000000",
    "number": "1144572215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 E PALM AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336053715",
            "telephone_number": "813-247-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 E PALM AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336053715",
            "telephone_number": "813-247-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACIENDA VILLAS ALF",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-12",
        "last_updated": "2012-10-12",
        "status": "A",
        "authorized_official_last_name": "ZULUAGA",
        "authorized_official_first_name": "LINA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "813-223-2686"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Habour Island Pharmacy LLC
• Mira Habshy
• Elissa Hachem
• Liset Hachen Castaneda
• Suzana Maria Hachey, PMHNP
• Taylor Hackal
• Joshua Hackenberg, PA-C
• Scott Wynn Hacking, M.D.
• Jase R Hackney, D.M.D.
• Noah Hackney, MD

• Assisted Living Facility in Tampa, FL
• Providers in Tampa, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; 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.