Deanna Adult Family Care Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

6906609 Issued in FL

Legal business name

DEANNA ADULT FAMILY CARE HOME

Practice address

2325 W Pine St
Tampa, FL 33607-3456

Phone

(813) 251-8506

NPI assigned

Mar 7, 2016

Organization subpart

No

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

Authorized official

Name

Deanna Celes JohnsonNPI 1225461296

Title

Owner

Phone

(813) 251-8506

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deanna Celes Johnson, LPN

  • Adult Care Home Facility
  • Tampa, FL
  • NPI 1225461296
  NPD (past) Authorized official

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457308800000",
    "number": "1497115265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 W PINE ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336073456",
            "telephone_number": "813-251-8506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 W PINE ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336073456",
            "telephone_number": "813-251-8506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEANNA ADULT FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-07",
        "last_updated": "2016-03-07",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_middle_name": "CELES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-251-8506"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6906609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013103000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer A Dean
• Kendall Dean
• Matthew Dean
• Robert M Dean
• Vicki L Dean
• Dearly Loved Counseling LLC
• Katryna Deary, APRN
• Elizabeth Michelle Deaton, LCSW
• Darcie M Deaver, NP-C
• Abigail Debacker, MD, RD, CNSC

• 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 7, 2016; 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.