Active NPI
Elenia'S Elysian Enclave Alf LLC
- Assisted Living Facility
- Tampa, FL
National Provider Identifier
1396559670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- ELENIA'S ELYSIAN ENCLAVE ALF LLC
- Practice address
- 6919 N 30TH Street
Tampa, FL 33610 - Phone
- (813) 993-6992
- NPI assigned
- Feb 5, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jorge Segui
- Title
- Admid
- Phone
- (813) 993-6992
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
6919 N 30TH Street
Tampa, FL 33610
Mailing address
6916 N 30TH St
Tampa, FL 33610-1102
Phone (813) 393-3978
Other names 1
- ELENIA'S ELYSIAN ENCLAVE ALF LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738886400000",
"number": "1396559670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6916 N 30TH ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336101102",
"telephone_number": "813-393-3978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6919 N 30TH STREET",
"city": "TAMPA",
"state": "FL",
"postal_code": "33610",
"telephone_number": "813-993-6992"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELENIA'S ELYSIAN ENCLAVE ALF LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-05",
"last_updated": "2025-02-07",
"certification_date": "2025-02-05",
"status": "A",
"authorized_official_last_name": "SEGUI",
"authorized_official_first_name": "JORGE",
"authorized_official_title_or_position": "ADMID",
"authorized_official_telephone_number": "813-993-6992"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ELENIA'S ELYSIAN ENCLAVE ALF LLC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.