NPIMap

Organization Active NPI

Holland Oaks Alf, LLC

  • Assisted Living Facility
  • Tampa, FL
National Provider Identifier
1154742922
Registry record updated Dec 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
11570 Issued in FL
Legal business name
HOLLAND OAKS ALF, LLC
Practice address
910 E Holland Ave
Tampa, FL 33612-6081
Phone
(813) 972-0516
Fax
(813) 972-0517
NPI assigned
Dec 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2013

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

Authorized official

Name
Mrs. Angelett Marie Johnson
Title
Administrator
Phone
(813) 857-6400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 11570 FL Primary

Addresses

Primary practice location

910 E Holland Ave
Tampa, FL 33612-6081

Mailing address

910 E Holland Ave
Tampa, FL 33612-6081
Phone (813) 972-0516

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1387670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387670400000",
    "number": "1154742922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 E HOLLAND AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336126081",
            "telephone_number": "813-972-0516",
            "fax_number": "813-972-0517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 E HOLLAND AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336126081",
            "telephone_number": "813-972-0516",
            "fax_number": "813-972-0517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLAND OAKS ALF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-22",
        "last_updated": "2013-12-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ANGELETT",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-857-6400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "11570",
            "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 Dec 22, 2013; 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.