Organization Active NPI

Ruth Care

  • Adult Care Home Facility
  • Tampa, FL
National Provider Identifier
1194159533
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
6905097 Issued in FL
Legal business name
RUTH CARE
Practice address
4812 S 86TH St
Tampa, FL 33619-7126
Phone
(813) 671-5810
NPI assigned
Aug 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Authorized official

Name
Mrs. Willie Ruth Miller
Title
Care Giver
Phone
(813) 671-5810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 6905097 FL Primary

Addresses

Primary practice location

4812 S 86TH St
Tampa, FL 33619-7126

Mailing address

4812 S 86TH St
Tampa, FL 33619-7126
Phone (813) 671-5810

Other identifiers 1

IdentifierTypeStateIssuer
141477100MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394409600000",
    "number": "1194159533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4812 S 86TH ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336197126",
            "telephone_number": "813-671-5810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4812 S 86TH ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336197126",
            "telephone_number": "813-671-5810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-21",
        "last_updated": "2014-03-10",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "CARE GIVER",
        "authorized_official_telephone_number": "813-671-5810",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6905097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141477100",
            "state": "FL"
        }
    ],
    "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 10, 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.