Alpha House Assisted Living Facility-Transitional Housing, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

6906544 Issued in FL

Legal business name

ALPHA HOUSE ASSISTED LIVING FACILITY-TRANSITIONAL HOUSING, INC.

Practice address

2835 Valencia Way S
St Petersburg, FL 33705-3635

Phone

(727) 288-4735

NPI assigned

Jun 24, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Renee M Lee

Title

Chief Executive Officer

Phone

(727) 288-4735

Specialties & licenses 1

Addresses

Other names 1

• Alpha House Community Residential Home Doing business as

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

{
    "created_epoch": "1340496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340496000000",
    "number": "1144583196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 VALENCIA WAY S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337053635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 VALENCIA WAY S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337053635",
            "telephone_number": "727-288-4735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA HOUSE ASSISTED LIVING FACILITY-TRANSITIONAL HOUSING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-24",
        "last_updated": "2012-06-24",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "727-288-4735",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "FL",
            "license": "6906544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpha House Community Residential Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.