El Cochero Alf Corp

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

EL COCHERO ALF CORP

Practice address

3012 W Robson St
Tampa, FL 33614-3472

Phone

(239) 628-2630

NPI assigned

Jun 9, 2019

Organization subpart

No

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

Authorized official

Name

Marilin Machado

Title

Owner

Phone

(239) 628-2630

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• El Cochero ALF Corp Former legal business name

Electronic endpoints 1

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

{
    "created_epoch": "1560038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560038400000",
    "number": "1376102806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 W ROBSON ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143472",
            "telephone_number": "239-628-2630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3012 W ROBSON ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143472",
            "telephone_number": "239-628-2630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL COCHERO ALF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-09",
        "last_updated": "2019-06-09",
        "status": "A",
        "authorized_official_last_name": "MACHADO",
        "authorized_official_first_name": "MARILIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-628-2630"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA LICENSE",
            "identifier": "13302",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "elcocheroalf@gmail.com",
            "affiliation": "N",
            "address_1": "3012 W Robson St",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336143472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "El Cochero ALF Corp",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2019; 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.