Eakens Group Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

PN5211100 Issued in FL

Legal business name

EAKENS GROUP HOME

Practice address

8402 Rio Bravo CT
3
Tampa, FL 33617-7083

Phone

(832) 727-0118

Fax

(832) 727-0118

NPI assigned

Sep 14, 2016

Organization subpart

No

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

Authorized official

Name

Miss Roneisha Milner

Title

Licensed Practical Nurse

Phone

(832) 727-0118

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473811200000",
    "number": "1629526074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8402 RIO BRAVO CT",
            "address_2": "3",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336177083",
            "telephone_number": "832-727-0118",
            "fax_number": "832-727-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8402 RIO BRAVO CT",
            "address_2": "3",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336177083",
            "telephone_number": "832-727-0118",
            "fax_number": "832-727-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAKENS GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-14",
        "last_updated": "2016-09-14",
        "status": "A",
        "authorized_official_last_name": "MILNER",
        "authorized_official_first_name": "RONEISHA",
        "authorized_official_title_or_position": "LICENSED PRACTICAL NURSE",
        "authorized_official_telephone_number": "832-727-0118",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "PN5211100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Tampa, FL
• Providers in Tampa, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.