Paulette's Adult Family Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

PAULETTE'S ADULT FAMILY HOME

Practice address

10122 Timmons Rd
Thonotosassa, FL 33592-3349

Phone

(813) 986-1011

Fax

(813) 982-2039

NPI assigned

May 4, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Paulette C Walker-SlaterNPI 1538393749

Title

Provider/Cna

Phone

(813) 986-1011

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paulette C Walker-Slater

  • Adult Care Home Facility
  • Thonotosassa, FL
  • NPI 1538393749
  NPD (past) Authorized official

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

{
    "created_epoch": "1241395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1609000827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10122 TIMMONS RD",
            "city": "THONOTOSASSA",
            "state": "FL",
            "postal_code": "335923349",
            "telephone_number": "813-986-1011",
            "fax_number": "813-982-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10122 TIMMONS RD",
            "city": "THONOTOSASSA",
            "state": "FL",
            "postal_code": "335923349",
            "telephone_number": "813-986-1011",
            "fax_number": "813-982-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULETTE'S ADULT FAMILY HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WALKER-SLATER",
        "authorized_official_first_name": "PAULETTE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PROVIDER/CNA",
        "authorized_official_telephone_number": "813-986-1011",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000015100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ahmad Nahas, D.D.S.
• Oliver Buchanan
• Raziyeh Pakbaz, APRN
• Palms Cardiovascular Institute,LLC
• Rajnikant C Patel, M.D.
• Beaurie Pearson
• Alexandra Perrine, PSYD
• Alexandra Maria Peters, RPT
• Holly Pineda, LCSW
• Toni Stokes Rackard

• Adult Care Home Facility in Thonotosassa, FL
• Providers in Thonotosassa, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.