Organization Active NPI

Jeanette Boston Alf

  • Assisted Living Facility
  • Tampa, FL
National Provider Identifier
1619359031
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
8616AL Issued in FL
Legal business name
JEANETTE BOSTON ALF
Practice address
6916 N 30TH St
Tampa, FL 33610-1102
Phone
(813) 237-5792
Fax
(813) 515-7887
NPI assigned
Jun 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2015

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

Authorized official

Name
Jeanette Boston
Title
Administrator
Phone
(813) 237-5792

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 8616AL FL Primary

Addresses

Primary practice location

6916 N 30TH St
Tampa, FL 33610-1102

Mailing address

6916 N 30TH St
Tampa, FL 33610-1102
Phone (813) 237-5792

Other identifiers 1

IdentifierTypeStateIssuer
8616ALOtherFLASSISTED LIVING FACILITY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434931200000",
    "number": "1619359031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6916 N 30TH ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336101102",
            "telephone_number": "813-237-5792",
            "fax_number": "813-515-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6916 N 30TH ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336101102",
            "telephone_number": "813-237-5792",
            "fax_number": "813-515-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANETTE BOSTON ALF",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-22",
        "last_updated": "2015-06-22",
        "status": "A",
        "authorized_official_last_name": "BOSTON",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-237-5792"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "8616AL",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSISTED LIVING FACILITY",
            "identifier": "8616AL",
            "state": "FL"
        }
    ],
    "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 Jun 22, 2015; 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.