Organization Active NPI

Hernandez Alf II LLC

  • Assisted Living Facility
  • Tampa, FL
National Provider Identifier
1518344951
Registry record updated Dec 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL12543 Issued in FL
Legal business name
HERNANDEZ ALF II LLC
Practice address
3010 W Haya St
Tampa, FL 33614-6735
Phone
(813) 270-6040
Fax
(813) 531-6824
NPI assigned
May 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2016

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

Authorized official

Name
Lisandra Hernandez
Title
Administrator
Phone
(813) 270-6040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL12543 FL Primary

Addresses

Primary practice location

3010 W Haya St
Tampa, FL 33614-6735

Mailing address

3010 W Haya St
Tampa, FL 33614
Phone (813) 270-6040

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481760000000",
    "number": "1518344951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 W HAYA ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33614",
            "telephone_number": "813-270-6040",
            "fax_number": "813-531-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 W HAYA ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336146735",
            "telephone_number": "813-270-6040",
            "fax_number": "813-531-6824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERNANDEZ ALF II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-06",
        "last_updated": "2016-12-15",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "LISANDRA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-270-6040"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.