El Palmar LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12080 Issued in FL

Legal business name

EL PALMAR LLC

Practice address

3406 W Caracas St
Tampa, FL 33614

Phone

(813) 784-0328

Fax

(813) 405-8012

NPI assigned

Jun 16, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Dagoberto Medina

Title

Manager

Phone

(813) 784-0328

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mis Abuelos ALF 2 Doing business as

Tax ID family

El Palmar LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• El Palmar LLC

  • Adult Day Care Clinic/Center
  • Tampa, FL
  • NPI 1225451560
  NPD tax ID

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1609161868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3406 W CARACAS ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336146604",
            "telephone_number": "813-405-8012",
            "fax_number": "813-405-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3406 W CARACAS ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33614",
            "telephone_number": "813-784-0328",
            "fax_number": "813-405-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL PALMAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-16",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "DAGOBERTO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "813-784-0328",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSISTED LIVING FACILITY LICENSE.  AHCA",
            "identifier": "AL12080",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mis Abuelos ALF 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• El Oasis Alf II Inc
• El Oasis Alf III Inc
• El Oasis Alf Inc
• El Oasis Alf Inc
• El Palmar LLC
• Adel Said El Sayed, M.D.
• Razan El Sayed, MD
• El Sol Medical Center Inc
• Layla Mohamad El Youssef Madrazo
• Nadiyah El-Amin-Lucas

• 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 Jun 20, 2018; 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.