Care RSL Tampa Opco, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

10528 Issued in FL

Legal business name

CARE RSL TAMPA OPCO, LLC

Practice address

115 E Davis Blvd
Tampa, FL 33606-3513

Phone

(813) 254-8399

Fax

(813) 254-6998

NPI assigned

Jan 14, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Alex Sarmiento

Title

Regional Director of Operations

Phone

(407) 732-5805

Specialties & licenses 1

Addresses

Other names 1

• Hudson Manor Doing business as

Locations

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

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1295124246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15807 BISCAYNE BLVD",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331604669",
            "telephone_number": "305-944-7988",
            "fax_number": "305-944-7986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E DAVIS BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063513",
            "telephone_number": "813-254-8399",
            "fax_number": "813-254-6998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE RSL TAMPA OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-14",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "SARMIENTO",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "407-732-5805",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "10528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hudson Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Tampa, FL
• Providers in Tampa, 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 Jan 14, 2015; 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.