NPIMap

Organization Active NPI

Ava Cares, LLC

  • Assisted Living Facility
  • Brandon, FL
National Provider Identifier
1376941708
Registry record updated Dec 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL-12324 Issued in FL
Legal business name
AVA CARES, LLC
Practice address
1007 Brooker Rd
Brandon, FL 33511-7619
Phone
(813) 300-6177
NPI assigned
Dec 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2014

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

Authorized official

Name
Mr. Roger T Derosa
Title
President
Phone
(813) 300-6177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL-12324 FL Primary

Addresses

Primary practice location

1007 Brooker Rd
Brandon, FL 33511-7619

Mailing address

515 Hickory Lake Dr
Brandon, FL 33511-6337
Phone (813) 300-6177

Other names 1

  • Ava Cares IV Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ava Cares LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

1007 Brooker Rd
Brandon, FL 33511
Phone (813) 300-6177

NPI Registry JSON

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

{
    "created_epoch": "1418774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418774400000",
    "number": "1376941708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 HICKORY LAKE DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116337",
            "telephone_number": "813-300-6177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 BROOKER RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335117619",
            "telephone_number": "813-300-6177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVA CARES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-17",
        "last_updated": "2014-12-17",
        "status": "A",
        "authorized_official_last_name": "DEROSA",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-300-6177",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL-12324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ava Cares IV",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; 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.