Sandra Cares Adult Family Care Home, Inc.

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

6906746 Issued in FL

Legal business name

SANDRA CARES ADULT FAMILY CARE HOME, INC.

Practice address

4207 W Wisconsin Ave
Tampa, FL 33616-1139

Phone

(813) 506-3907

Fax

(813) 304-1869

NPI assigned

Mar 25, 2015

Organization subpart

No

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

Authorized official

Name

Marie Sandra Jeannot, CNA

Title

Administrator

Phone

(813) 506-3907

Specialties & licenses 1

Addresses

Other names 1

• Marie sandra Jeannot Doing business as

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427241600000",
    "number": "1447644653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4207 W WISCONSIN AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33616",
            "telephone_number": "813-506-3907",
            "fax_number": "813-304-1869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4207 W WISCONSIN AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336161139",
            "telephone_number": "813-506-3907",
            "fax_number": "813-304-1869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA CARES ADULT FAMILY CARE HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-25",
        "last_updated": "2015-03-25",
        "status": "A",
        "authorized_official_last_name": "JEANNOT",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "SANDRA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-506-3907",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6906746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marie sandra Jeannot",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ramon Sandin, MD
• Jessica Rande Sandoval
• Julio Roberto Sandoval, MD
• Keauzsae Sandoval, MSW
• Maria Luisa Sandoval, MD
• Lynnette C Sandrock, CNM ARNP
• Stephanie Sands, RD
• Sandton Enterprises
• Oleg Sandulyak, NP
• Stacey Boley Sandusky, PHD

• 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 Mar 25, 2015; 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.