Carolyn David Adult Family Care Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

299 Issued in FL

Legal business name

CAROLYN DAVID ADULT FAMILY CARE HOME

Practice address

4416-Porpoise Dr
Tampa, FL 33617-8316

Phone

(813) 988-8408

NPI assigned

Oct 21, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Carolyn DavidNPI 1407030893

Title

Owner

Phone

(813) 988-8408

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carolyn Genevieve David

  • Adult Care Home Facility
  • Tampa, FL
  • NPI 1407030893
  NPD (past) Authorized official

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1407166697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4416-PORPOISE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336178316",
            "telephone_number": "813-988-8408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4416-PORPOISE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336178316",
            "telephone_number": "813-988-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLYN DAVID ADULT FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-21",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-988-8408",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol H Lieber LCSW, LLC
• Carol Parker, LMHC
• Carol S Cox MD (North Tampa Gynecology)
• Caroline Larosa, LCSW, PLLC
• Caroline Seignon (n/a)
• Carolyn M. Carey, MD, PA (Center for Pediatric Neurosurgery & Neuroscience)
• Carolyn M. Carey, MD, PA (Center for Pediatric Neurosurgery & Neuroscience)
• Carolyn M. Carey, MD, PA (Center for Pediatric Neurosurgery & Neuroscience)
• Carolyn Schroeder Connelly MD PA
• Carpenter Health PA

• Adult Care Home Facility in Tampa, FL
• Providers in Tampa, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; 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.