Concordia of Florida, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CONCORDIA OF FLORIDA, INC.

Practice address

4100 E Fletcher Ave
Tampa, FL 33613-4864

Phone

(813) 977-4950

Fax

(813) 632-2456

NPI assigned

Jan 27, 2021

Organization subpart

No

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

Authorized official

Name

Brian Hortert

Title

Coo

Phone

(724) 352-1571

Specialties & licenses 1

Addresses

Other names 1

• Concordia Village of Tampa Doing business as

Tax ID family

Concordia Home Health of Tampa2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Concordia of Florida, Inc.

  • In Home Supportive Care Agency
  • Tampa, FL
  • NPI 1477058220
  NPD tax ID

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1164013702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 E FLETCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134864",
            "telephone_number": "813-977-4950",
            "fax_number": "813-632-2456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 E FLETCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134864",
            "telephone_number": "813-977-4950",
            "fax_number": "813-632-2456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORDIA OF FLORIDA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "HORTERT",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "724-352-1571"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concordia Village of Tampa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yolanda Concepcion-Cipriano, L.M.H.C.
• George Luis Concepcion, MD
• Megan Conchar, PH.D.
• Concierge Care of Tampa, LLC
• Concord Home Care, LLC
• Concordia of Florida, Inc.
• Concordia of Florida, Inc.
• Naomi Caroline Conerly, CRNA
• Emily Anne Coners
• Ordanka Coneva

• 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 Jan 27, 2021; 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.