El Palmar LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

AL12080 Issued in FL

Legal business name

EL PALMAR LLC

Doing business as

Mis Abuelos ALF 2

Practice address

3406 W Caracas St
Tampa, FL 33614-6604

Phone

(813) 784-0328

Fax

(813) 405-8012

NPI assigned

Jan 22, 2014

Last updated

Jan 22, 2014By 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

Mr. Dagoberto Medina

Title

Owner

Phone

(813) 784-0328

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mis Abuelos ALF 2 Doing business as

Tax ID family

El Palmar LLC2 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.

• El Palmar LLC

  dba Mis Abuelos ALF 2

  • Assisted Living Facility
  • Tampa, FL
  • NPI 1609161868
  NPD tax ID

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

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390348800000",
    "number": "1225451560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3406 W CARACAS ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336146604",
            "telephone_number": "813-784-0328",
            "fax_number": "813-405-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3406 W CARACAS ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336146604",
            "telephone_number": "813-784-0328",
            "fax_number": "813-405-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL PALMAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-22",
        "last_updated": "2014-01-22",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "DAGOBERTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-784-0328",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "FL",
            "license": "AL12080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA LICENSE",
            "identifier": "AL12080",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mis Abuelos ALF 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• El Dorado Consultants, LLC
• El Oasis Alf II Inc
• El Oasis Alf III Inc
• El Oasis Alf Inc
• El Oasis Alf Inc (El Oasis Adult Care)
• El Palmar LLC (Mis Abuelos ALF 2)
• Adel Said El Sayed, M.D.
• Razan El Sayed, MD
• El Sol Medical Center Inc
• Layla Mohamad El Youssef Madrazo

• Adult Day Care Clinic/Center in Tampa, FL
• Providers in Tampa, FL by specialty
• Adult Day Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.