Active NPI
Jeanette Boston Alf
- Assisted Living Facility
- Tampa, FL
National Provider Identifier
1619359031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 8616AL
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8616AL | Other | FL | ASSISTED LIVING FACILITY |
National Provider Directory
National Provider DirectoryNPI 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.