Hacienda Alf Services, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HACIENDA ALF SERVICES, LLC

Practice address

1510 E Palm Ave
Ybor City, FL 33605-3715

Phone

(813) 545-0682

NPI assigned

Mar 13, 2023

Last updated

Apr 25, 2025By 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

Yanky Rodman

Title

Regional Manager

Phone

(702) 738-2004

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1619678059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 ROUTE 59",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109775214",
            "telephone_number": "813-545-0682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 E PALM AVE",
            "city": "YBOR CITY",
            "state": "FL",
            "postal_code": "336053715",
            "telephone_number": "813-545-0682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACIENDA ALF SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-13",
        "last_updated": "2025-04-25",
        "certification_date": "2023-03-13",
        "status": "A",
        "authorized_official_last_name": "RODMAN",
        "authorized_official_first_name": "YANKY",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "702-738-2004"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Ybor City, FL
• Providers in Ybor City, 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 Apr 25, 2025; 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.