La Gloria Alf, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LA GLORIA ALF, LLC

Doing business as

La Gloria ALF, LLC

Practice address

6003 W Knox St
Tampa, FL 33634-4443

Phone

(813) 415-3002

NPI assigned

Aug 20, 2017

Organization subpart

No

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

Authorized official

Name

Teresa Iturriaga

Title

Administrator

Phone

(813) 389-7790

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• La Gloria ALF, LLC Doing business as

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

{
    "created_epoch": "1503187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1326564485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6003 W KNOX ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336344443",
            "telephone_number": "813-415-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6003 W KNOX ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336344443",
            "telephone_number": "813-415-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA GLORIA ALF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ITURRIAGA",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-389-7790"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022300300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Gloria ALF, LLC",
            "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 Jul 21, 2022; 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.