Organization Active NPI

Bird of Paradise @ Suncoast

  • Physical Disabilities Residential Treatment Facility
  • Riverview, FL
National Provider Identifier
1629254693
Registry record updated Jan 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
Legal business name
BIRD OF PARADISE @ SUNCOAST
Practice address
10902 Wildcat Dr
Riverview, FL 33579-7778
Phone
(813) 810-7279
NPI assigned
Jan 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2008

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

Authorized official

Name
Ms. Merline Alcide
Title
Director
Phone
(813) 751-9788

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X Primary
Child Physical Disabilities Respite Care 385HR2065X

Addresses

Primary practice location

10902 Wildcat Dr
Riverview, FL 33579-7778

Mailing address

10902 Wildcat Dr
Riverview, FL 33579-7778
Phone (813) 810-7279

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1200873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200873600000",
    "number": "1629254693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10902 WILDCAT DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335797778",
            "telephone_number": "813-810-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10902 WILDCAT DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335797778",
            "telephone_number": "813-810-7279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRD OF PARADISE @ SUNCOAST",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-21",
        "last_updated": "2008-01-21",
        "status": "A",
        "authorized_official_last_name": "ALCIDE",
        "authorized_official_first_name": "MERLINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "813-751-9788",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2008; 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.