Organization Active NPI

American Dream Alf , Inc.

  • Adult Day Care Clinic/Center
  • Tampa, FL
National Provider Identifier
1184396871
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
AMERICAN DREAM ALF , INC.
Practice address
4532 W Knollwood St
Tampa, FL 33614-3636
Phone
(786) 419-8801
Fax
(813) 280-9418
NPI assigned
Sep 30, 2021
Last updated
Apr 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Authorized official

Name
Rubeidy Perez Garcia
Title
Administrator
Phone
(786) 419-8801

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary
Assisted Living Facility 310400000X

Addresses

Primary practice location

4532 W Knollwood St
Tampa, FL 33614-3636

Mailing address

4532 W Knollwood St
Tampa, FL 33614-3636
Phone (786) 419-8801

Other names 1

  • More Space Place Other name

National Provider Directory

National Provider Directory
Tax ID family
American Dream Alf Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1184396871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4532 W KNOLLWOOD ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143636",
            "telephone_number": "786-419-8801",
            "fax_number": "813-280-9418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4532 W KNOLLWOOD ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143636",
            "telephone_number": "786-419-8801",
            "fax_number": "813-280-9418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN DREAM ALF , INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-30",
        "last_updated": "2023-04-03",
        "certification_date": "2023-03-24",
        "status": "A",
        "authorized_official_last_name": "PEREZ GARCIA",
        "authorized_official_first_name": "RUBEIDY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "786-419-8801"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "More Space Place",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 3, 2023; 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.