NPIMap

Organization Active NPI

Volunteers of America of Florida, Inc

  • Community/Behavioral Health Agency
  • Tampa, FL
National Provider Identifier
1437726981
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
VOLUNTEERS OF AMERICA OF FLORIDA, INC
Practice address
4011 N 39TH St Unit 1
Tampa, FL 33610-7967
Phone
(813) 376-6118
Fax
(813) 933-1116
NPI assigned
Jun 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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

Authorized official

Name
Randall Mark Burgan
Title
Chief Operating Officer
Phone
(727) 498-4807

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4011 N 39TH St Unit 1
Tampa, FL 33610-7967

Mailing address

405 Central Ave Ste 100
St Petersburg, FL 33701-3866
Phone (727) 498-4807

Other identifiers 1

IdentifierTypeStateIssuer
029943023MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Volunteers of America of Florida Inc14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Locations

4011 N 39th St
Unit 1
Tampa, FL 33610
Phone (813) 376-6118

NPI Registry JSON

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622764800000",
    "number": "1437726981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 CENTRAL AVE STE 100",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013866",
            "telephone_number": "727-498-4807",
            "fax_number": "727-823-8286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 N 39TH ST UNIT 1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336107967",
            "telephone_number": "813-376-6118",
            "fax_number": "813-933-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOLUNTEERS OF AMERICA OF FLORIDA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-04",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A",
        "authorized_official_last_name": "BURGAN",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "727-498-4807"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029943023",
            "state": "FL"
        }
    ],
    "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 Jun 4, 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.