Twin Davis Operator LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

TWIN DAVIS OPERATOR LLC

Practice address

115 E Davis Blvd
Tampa, FL 33606-3513

Phone

(813) 254-8399

Fax

(813) 254-6998

NPI assigned

Apr 3, 2020

Organization subpart

No

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

Authorized official

Name

Mr. John Masterpalo, CPA

Title

Cfo

Phone

(732) 837-4973

Specialties & licenses 1

Addresses

Other names 1

• Hudson Manor Doing business as

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601424000000",
    "number": "1508495409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E DAVIS BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063513",
            "telephone_number": "813-254-8399",
            "fax_number": "813-254-6998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E DAVIS BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063513",
            "telephone_number": "813-254-8399",
            "fax_number": "813-254-6998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN DAVIS OPERATOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-03",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A",
        "authorized_official_last_name": "MASTERPALO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "732-837-4973",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hudson Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley N Tweddle
• Stacy Jaramillo Twetan, MSW
• Rudolph Levi Twiggs, DMD
• Mark McKeel Twilla, DVM
• Twin 2 LLC
• Jessica Ann Twitmyer, RBT
• Bree Twitty, APRN
• Pamela D. Twitty, M.D.
• Two by Two Associates LLC
• Poornima Gaur Tyagi

• 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 Sep 30, 2020; 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.