Active NPI
Hudson Manor Opco LLC
- Assisted Living Facility
- Tampa, FL
National Provider Identifier
1225890890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- HUDSON MANOR OPCO LLC
- Practice address
- 115 E Davis Blvd
Tampa, FL 33606 - Phone
- (813) 280-2000
- NPI assigned
- Jan 29, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Punit Shah
- Title
- Manager
- Phone
- (813) 280-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
115 E Davis Blvd
Tampa, FL 33606
Mailing address
109 N Brush St
Ste 260
Tampa, FL 33602
Phone (813) 280-2000
National Provider Directory
National Provider DirectoryLocations
109 N Brush St
Ste 260
Tampa, FL 33602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706486400000",
"number": "1225890890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 N BRUSH ST",
"address_2": "STE 260",
"city": "TAMPA",
"state": "FL",
"postal_code": "33602",
"telephone_number": "813-280-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 E DAVIS BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "33606",
"telephone_number": "813-280-2000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUDSON MANOR OPCO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-29",
"last_updated": "2024-01-29",
"status": "A",
"authorized_official_last_name": "SHAH",
"authorized_official_first_name": "PUNIT",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "813-280-2000"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"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 Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.