Grannie'S Home Alf Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

13073 Issued in FL

Legal business name

GRANNIE'S HOME ALF INC

Practice address

5554 Pentail Cir
Tampa, FL 33625-1936

Phone

(813) 363-2530

NPI assigned

Oct 5, 2017

Organization subpart

No

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

Authorized official

Name

Rogel Guirola

Title

Administrator

Phone

(813) 363-2530

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507161600000",
    "number": "1356851224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5554 PENTAIL CIR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336251936",
            "telephone_number": "813-363-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5554 PENTAIL CIR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336251936",
            "telephone_number": "813-363-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANNIE'S HOME ALF INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-05",
        "last_updated": "2017-10-05",
        "status": "A",
        "authorized_official_last_name": "GUIROLA",
        "authorized_official_first_name": "ROGEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-363-2530"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "13073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grande Pharmacy LLC
• Gopal S Grandhige, M.D.
• Jamus Grandstrom
• Sally Jaye Granger, ARNP
• Ami Marie Grangerwelch
• Yudy Astrid Granobles Silva
• Tatia Grant Levy, DO
• Christine Isolde Grant, D.M.D.
• Dena G Grant, MD
• Edmund G Grant, M.D.

• 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 Oct 5, 2017; 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.