NPIMap

Organization Active NPI

Ava Cares, LLC

  • Assisted Living Facility
  • Brandon, FL
National Provider Identifier
1457781965
Registry record updated Nov 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL-12249 Issued in FL
Legal business name
AVA CARES, LLC
Practice address
515 Hickory Lake Dr
Brandon, FL 33511-6337
Phone
(813) 300-6177
NPI assigned
Nov 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2013

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

Authorized official

Name
Mr. Roger T Derosa
Title
Administrator
Phone
(813) 300-6177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL-12249 FL Primary

Addresses

Primary practice location

515 Hickory Lake Dr
Brandon, FL 33511-6337

Mailing address

515 Hickory Lake Dr
Brandon, FL 33511-6337
Phone (813) 300-6177

National Provider Directory

National Provider Directory
Tax ID family
Ava Cares LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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": "1384819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384819200000",
    "number": "1457781965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 HICKORY LAKE DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116337",
            "telephone_number": "813-300-6177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 HICKORY LAKE DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116337",
            "telephone_number": "813-300-6177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVA CARES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-19",
        "last_updated": "2013-11-19",
        "status": "A",
        "authorized_official_last_name": "DEROSA",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-300-6177",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL-12249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.