The Friendly House of Tampa Bay Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12101 Issued in FL

Legal business name

THE FRIENDLY HOUSE OF TAMPA BAY INC.

Practice address

2602 W Comanche Ave
Tampa, FL 33614-6175

Phone

(813) 405-4949

NPI assigned

Dec 4, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Luis Carrera

Title

Owner/Administrator

Phone

(813) 405-4949

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1322956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322956800000",
    "number": "1508134636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2602 W COMANCHE AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336146175",
            "telephone_number": "813-405-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 W COMANCHE AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336146175",
            "telephone_number": "813-405-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FRIENDLY HOUSE OF TAMPA BAY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-04",
        "last_updated": "2011-12-04",
        "status": "A",
        "authorized_official_last_name": "CARRERA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "813-405-4949",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Tampa, FL
• Providers in Tampa, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2011; 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.