NPIMap

Organization Active NPI

Senior Care Group, Inc.

  • Skilled Nursing Facility
  • Tampa, FL
National Provider Identifier
1437143906
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF1282096 Issued in FL
Legal business name
SENIOR CARE GROUP, INC.
Practice address
16002 Lakeshore Villa Dr
Tampa, FL 33613-1367
Phone
(813) 968-5093
Fax
(813) 264-0476
NPI assigned
Sep 9, 2005
Last updated
Jul 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Authorized official

Name
Mark D. Kramer
Title
Ceo
Phone
(813) 341-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X SNF1282096 FL Primary

Addresses

Primary practice location

16002 Lakeshore Villa Dr
Tampa, FL 33613-1367

Mailing address

16002 Lakeshore Villa Dr
Tampa, FL 33613-1367
Phone (813) 968-5093

National Provider Directory

National Provider Directory
Tax ID family
Locust Mt HLTH Care Fac2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1437143906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16002 LAKESHORE VILLA DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336131367",
            "telephone_number": "813-968-5093",
            "fax_number": "813-264-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16002 LAKESHORE VILLA DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336131367",
            "telephone_number": "813-968-5093",
            "fax_number": "813-264-0476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CARE GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-09",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "KRAMER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-341-2700"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1282096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 31, 2008; 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.