Organization Active NPI

Juanita Miller

  • Adult Care Home Facility
  • Tampa, FL
National Provider Identifier
1174937700
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
6906352 Issued in FL
Legal business name
JUANITA MILLER
Practice address
8203 Dahlia Ave
Tampa, FL 33619-7431
Phone
(813) 385-8188
Fax
(813) 574-7215
NPI assigned
Jun 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

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

Authorized official

Name
Mrs. Juanita Miller
Title
Administrator
Phone
(813) 385-8188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 6906352 FL Primary

Addresses

Primary practice location

8203 Dahlia Ave
Tampa, FL 33619-7431

Mailing address

8203 Dahlia Ave
Tampa, FL 33619-7431
Phone (813) 385-8188

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402444800000",
    "number": "1174937700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8203 DAHLIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336197431",
            "telephone_number": "813-385-8188",
            "fax_number": "813-574-7215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8203 DAHLIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336197431",
            "telephone_number": "813-385-8188",
            "fax_number": "813-574-7215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUANITA MILLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-11",
        "last_updated": "2014-06-11",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JUANITA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-385-8188",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6906352",
            "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 Jun 11, 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.