Organization Active NPI

Tampa Oaks Senior Living

Doing business as Promise Pointe At Tampa Oaks

  • Assisted Living Facility
  • Temple Terrace, FL
National Provider Identifier
1235620410
Registry record updated Apr 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
13142 Issued in FL
Legal business name
TAMPA OAKS SENIOR LIVING
Doing business as
Promise Pointe At Tampa Oaks
Practice address
12110 Morris Bridge Rd
Temple Terrace, FL 33637-1950
Phone
(813) 694-2153
NPI assigned
May 23, 2018
Last updated
Apr 16, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2019

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

Authorized official

Name
Laura Holliday
Title
Cfo
Phone
(813) 694-2153

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 13142 FL Primary

Addresses

Primary practice location

12110 Morris Bridge Rd
Temple Terrace, FL 33637-1950

Mailing address

12110 Morris Bridge Rd
Temple Terrace, FL 33637-1950
Phone (813) 694-2153

Other names 1

  • Promise Pointe At Tampa Oaks Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2210820Promise Pointe at Tampa Oaks12110 Morris Bridge Rd, Temple Terrace, FL 33637Certificate of waiverJan 24, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555372800000",
    "number": "1235620410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12110 MORRIS BRIDGE RD",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336371950",
            "telephone_number": "813-694-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12110 MORRIS BRIDGE RD",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336371950",
            "telephone_number": "813-694-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA OAKS SENIOR LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-23",
        "last_updated": "2019-04-16",
        "status": "A",
        "authorized_official_last_name": "HOLLIDAY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "813-694-2153"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "13142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Promise Pointe At Tampa Oaks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Temple Terrace, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.