98

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

CNA27905 Issued in FL

Legal business name

98

Practice address

11314 Mahopac Rd
Weeki Wachee, FL 34614-3562

Phone

(813) 410-7719

NPI assigned

Apr 28, 2010

Last updated

Apr 28, 2010By 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

Milo Dferival, CNA

Title

Cna

Phone

(813) 410-7719

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272412800000",
    "number": "1255658365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11314 MAHOPAC RD",
            "city": "WEEKI WACHEE",
            "state": "FL",
            "postal_code": "346143562",
            "telephone_number": "813-410-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11314 MAHOPAC RD",
            "city": "WEEKI WACHEE",
            "state": "FL",
            "postal_code": "346143562",
            "telephone_number": "813-410-7719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "98",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-28",
        "last_updated": "2010-04-28",
        "status": "A",
        "authorized_official_last_name": "DFERIVAL",
        "authorized_official_first_name": "MILO",
        "authorized_official_title_or_position": "CNA",
        "authorized_official_telephone_number": "813-410-7719",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "CNA27905",
            "primary": true
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "FL",
            "license": "CNA27905",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; 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.