Organization Active NPI

Hudson Manor Opco LLC

  • Assisted Living Facility
  • Tampa, FL
National Provider Identifier
1225890890
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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

Updated by the provider on Jan 29, 2024

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.