Family Residences of Tampa Inc

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

FAMILY RESIDENCES OF TAMPA INC

Practice address

14508 Midland Greens PL
Tampa, FL 33625-3348

Phone

(813) 374-6121

Fax

(813) 374-6121

NPI assigned

Sep 4, 2013

Last updated

Sep 4, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Dave R Ford Sr., BSBM

Title

President

Phone

(813) 374-6121

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378252800000",
    "number": "1598190092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14508 MIDLAND GREENS PL",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336253348",
            "telephone_number": "813-374-6121",
            "fax_number": "813-374-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14508 MIDLAND GREENS PL",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336253348",
            "telephone_number": "813-374-6121",
            "fax_number": "813-374-6121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY RESIDENCES OF TAMPA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-04",
        "last_updated": "2013-09-04",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "DAVE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-374-6121",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "BSBM"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family NP Telemedicine
• Family Physicians of Tampa Bay
• Family Podiatry Group of Tampa, P.a.
• Family Preservation Services
• Family Rehabilitation Group, Inc.
• Family Support Inc
• Family Treasures Companion and Homemaker Services LLC.
• Ji Fan, M.D.
• Yali Fan, D.O.M
• Nicole J Fanarjian, M.D.

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Tampa, FL
• Providers in Tampa, FL by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Florida

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