NPIMap

Organization Active NPI

Gardens of Time LLC

  • Adult Day Care Clinic/Center
  • Tampa, FL
National Provider Identifier
1265855936
Registry record updated Jan 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
AL 12263 Issued in FL
Legal business name
GARDENS OF TIME LLC
Practice address
4603 N Saint Vincent St
Tampa, FL 33614-6671
Phone
(813) 505-5564
Fax
(813) 443-0343
NPI assigned
Jan 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2014

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

Authorized official

Name
Martha Julia Medina Rodriguez
Title
Manager
Phone
(813) 505-5564

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X AL 12263 FL Primary

Addresses

Primary practice location

4603 N Saint Vincent St
Tampa, FL 33614-6671

Mailing address

4603 N Saint Vincent St
Tampa, FL 33614-6671
Phone (813) 505-5564

Other identifiers 1

IdentifierTypeStateIssuer
006738700MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Gardens of Time LLC2 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": "1391040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391040000000",
    "number": "1265855936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4603 N SAINT VINCENT ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336146671",
            "telephone_number": "813-505-5564",
            "fax_number": "813-443-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4603 N SAINT VINCENT ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336146671",
            "telephone_number": "813-505-5564",
            "fax_number": "813-443-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDENS OF TIME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-30",
        "last_updated": "2014-01-30",
        "status": "A",
        "authorized_official_last_name": "MEDINA RODRIGUEZ",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "JULIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "813-505-5564"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "FL",
            "license": "AL 12263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006738700",
            "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 Jan 30, 2014; 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.