Assured Care Alf

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL13136 Issued in FL

Legal business name

ASSURED CARE ALF

Practice address

2006 Wrangler Dr
Brandon, FL 33511-2121

Phone

(813) 239-7558

Fax

(813) 571-9909

NPI assigned

Mar 6, 2018

Organization subpart

Yes

Parent organization

ASSURED CARE ALFAs reported in NPPES

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

Authorized official

Name

Mrs. Carmela Hilsman

Title

Owner

Phone

(813) 239-7558

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ASSURED CARE ALF NORTH Doing business as

Tax ID family

Assured Care Alf2 organizations share this tax ID, including this one

Part of

Assured Care Alf

Other organizations with this tax ID 1

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

• Assured Care Alf

  • Assisted Living Facility
  • Riverview, FL
  • NPI 1003204454
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Assured Care Alf

  • Assisted Living Facility
  • Riverview, FL
  • NPI 1003204454
  NPPES parent name

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520294400000",
    "number": "1285136275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10004 COUNTRY CARRIAGE CIR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335695694",
            "telephone_number": "813-239-7558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 WRANGLER DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335112121",
            "telephone_number": "813-239-7558",
            "fax_number": "813-571-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSURED CARE ALF",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASSURED CARE ALF",
        "enumeration_date": "2018-03-06",
        "last_updated": "2018-03-06",
        "status": "A",
        "authorized_official_last_name": "HILSMAN",
        "authorized_official_first_name": "CARMELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-239-7558",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL13136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014144700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASSURED CARE ALF NORTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Brandon, FL
• Providers in Brandon, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; 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.