NPIMap

Organization Active NPI

Heritage Oaks Alf Inc.

  • Assisted Living Facility
  • Tampa, FL
National Provider Identifier
1265776389
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
4906 Issued in FL
Legal business name
HERITAGE OAKS ALF INC.
Practice address
2801 N. Branch Forbes Road
Tampa, FL 33565
Phone
(813) 752-1076
Fax
(813) 237-2756
NPI assigned
Nov 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2016

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

Authorized official

Name
Mr. Louie G Macalinao, MBA
Title
President/Ceo
Phone
(813) 352-3569

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 4906 FL Primary

Addresses

Primary practice location

2801 N. Branch Forbes Road
Tampa, FL 33565

Mailing address

10759 Cory Lake Drive
Tampa, FL 33647
Phone (813) 352-3569

Other identifiers 1

IdentifierTypeStateIssuer
003855800MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Heritage Oaks Alf Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461801600000",
    "number": "1265776389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10759 CORY LAKE DRIVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33647",
            "telephone_number": "813-352-3569",
            "fax_number": "813-237-2756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 N. BRANCH FORBES ROAD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33565",
            "telephone_number": "813-752-1076",
            "fax_number": "813-237-2756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE OAKS ALF INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2016-04-28",
        "status": "A",
        "authorized_official_last_name": "MACALINAO",
        "authorized_official_first_name": "LOUIE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "813-352-3569",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "4906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003855800",
            "state": "FL"
        }
    ],
    "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 Apr 28, 2016; 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.