Active NPI
Tampa Oaks Senior Living
Doing business as Promise Pointe At Tampa Oaks
- Assisted Living Facility
- Temple Terrace, FL
National Provider Identifier
1235620410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 13142
- 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, 2019
- 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
- Laura Holliday
- Title
- Cfo
- Phone
- (813) 694-2153
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2210820 | Promise Pointe at Tampa Oaks | Certificate of waiver | Jan 24, 2027 |
National Provider Directory
National Provider DirectoryNPI 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.