The Heritage of Tavares Alf

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL5368 Issued in FL

Legal business name

THE HERITAGE OF TAVARES ALF

Practice address

900 E Alfred St
Tavares, FL 32778-3402

Phone

(352) 343-3070

Fax

(352) 343-5633

NPI assigned

May 15, 2007

Last updated

Jan 23, 2008By 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. Rey Rafael Alagano

Title

Owner Administrator

Phone

(352) 343-3070

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1598971509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E ALFRED ST",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327783402",
            "telephone_number": "352-343-3070",
            "fax_number": "352-343-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E ALFRED ST",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327783402",
            "telephone_number": "352-343-3070",
            "fax_number": "352-343-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HERITAGE OF TAVARES ALF",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "ALAGANO",
        "authorized_official_first_name": "REY",
        "authorized_official_middle_name": "RAFAEL",
        "authorized_official_title_or_position": "OWNER ADMINISTRATOR",
        "authorized_official_telephone_number": "352-343-3070",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL5368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramona Teasley, M.S., CCC-SLP
• Shelby L Terpstra, D.O.
• Mary Ann Tesalona, M.D.
• The Gardens at Tavares
• The Grove Pediatric Therapy LLC
• Devon Nicole Thomas, MD
• Khannia Erif Thomas, MD
• Spencer Michael Thomas
• Valerie B Thomas, MD
• Sherry Thornton, LCSW

• Assisted Living Facility in Tavares, FL
• Providers in Tavares, 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 Jan 23, 2008; 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.