Gentle Harbor Senior Care

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GENTLE HARBOR SENIOR CARE

Practice address

7003 Flint Dr
Tampa, FL 33619-5936

Phone

(813) 403-9239

Fax

(813) 217-9660

NPI assigned

Apr 24, 2021

Organization subpart

No

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

Authorized official

Name

Dionne Sardon

Title

Owner

Phone

(813) 403-9239

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1619222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619222400000",
    "number": "1407438955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7003 FLINT DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336195936",
            "telephone_number": "813-403-9239",
            "fax_number": "813-217-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7003 FLINT DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336195936",
            "telephone_number": "813-403-9239",
            "fax_number": "813-217-9660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE HARBOR SENIOR CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-24",
        "last_updated": "2021-04-24",
        "certification_date": "2021-04-24",
        "status": "A",
        "authorized_official_last_name": "SARDON",
        "authorized_official_first_name": "DIONNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-403-9239"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "13587",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "gentleharborsc@yahoo.com",
            "affiliation": "N",
            "address_1": "7003 Flint Dr",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336195936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Assisted Living Facility in Tampa, FL
• Providers in Tampa, FL by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2021; 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.