NPIMap

Organization Active NPI

Mirella'S Assisted Living LLC

  • Assisted Living Facility
  • Tampa, FL
National Provider Identifier
1144645854
Registry record updated Mar 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
11693 Issued in FL
Legal business name
MIRELLA'S ASSISTED LIVING LLC
Practice address
3003 W Beach St
Tampa, FL 33607-2928
Phone
(813) 500-3508
NPI assigned
Mar 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2014

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

Authorized official

Name
Mirella R RubioNPI 1902962343
Title
Owner
Phone
(813) 500-3508

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
Assisted Living Facility 310400000X 11693 FL Primary

Addresses

Primary practice location

3003 W Beach St
Tampa, FL 33607-2928

Mailing address

3003 W Beach St
Tampa, FL 33607-2928
Phone (813) 500-3508

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": "1393891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393891200000",
    "number": "1144645854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 W BEACH ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336072928",
            "telephone_number": "813-500-3508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 W BEACH ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336072928",
            "telephone_number": "813-500-3508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRELLA'S ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-04",
        "last_updated": "2014-03-04",
        "status": "A",
        "authorized_official_last_name": "RUBIO",
        "authorized_official_first_name": "MIRELLA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-500-3508"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "11693",
            "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 Mar 4, 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.