Lifecare Home Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LIFECARE HOME INC

Doing business as

Oakland Manor Alf

Practice address

2812 N Nebraska Ave
Tampa, FL 33602-1728

Phone

(813) 225-1347

NPI assigned

Aug 3, 2020

Last updated

Aug 19, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wyndee TantocoNPI 1407465792

Title

Administrator

Phone

(813) 225-1347

Specialties & licenses 1

Addresses

Other names 1

• OAKLAND MANOR ALF Doing business as

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wyndee Tantoco

  • Assisted Living Facility
  • Tampa, FL
  • NPI 1407465792
  Authorized official Same address or phone

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597795200000",
    "number": "1205446507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2812 N NEBRASKA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336021728",
            "telephone_number": "813-225-1347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2812 N NEBRASKA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336021728",
            "telephone_number": "813-225-1347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECARE HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-03",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "TANTOCO",
        "authorized_official_first_name": "WYNDEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-225-1347"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "OAKLANDMANOR33602@GMAIL.COM",
            "affiliation": "N",
            "address_1": "2812 N Nebraska Ave",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336021728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "OAKLAND MANOR ALF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Aug 19, 2020; 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.