Vintage Village Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL11572 Issued in FL

Legal business name

VINTAGE VILLAGE INC

Practice address

701 E Virginia Ave
Tampa, FL 33603-5028

Phone

(813) 276-9828

Fax

(813) 276-9828

NPI assigned

Jul 2, 2010

Organization subpart

No

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

Authorized official

Name

Danay Leon

Title

President

Phone

(813) 610-4200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1278028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278028800000",
    "number": "1407168727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E VIRGINIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336035028",
            "telephone_number": "813-276-9828",
            "fax_number": "813-276-9828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E VIRGINIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336035028",
            "telephone_number": "813-276-9828",
            "fax_number": "813-276-9828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINTAGE VILLAGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-02",
        "last_updated": "2010-07-02",
        "status": "A",
        "authorized_official_last_name": "LEON",
        "authorized_official_first_name": "DANAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-610-4200"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Silvano Vinent Duharte, RBT
• Julie Vining, ARNP
• Michelle Vinokurov
• Ebony Sade Vinson, PH.D.
• Lisa J Vinson, COTA
• James Michael Violante, PA
• Chloe Violette, APRN
• Vip Home Care Agency
• Vip Senior Wellness Services LLC
• Vipul R. Shah MD PA

• 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 Jul 2, 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.