Hailey'S Family Services,LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

HAILEY'S FAMILY SERVICES,LLC

Practice address

21754 State Road 54
Lutz, FL 33549-6901

Phone

(813) 949-0745

NPI assigned

Aug 15, 2018

Organization subpart

Yes

Parent organization

HAILEY'S FAMILY SERVICES, LLCAs reported in NPPES

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

Authorized official

Name

Debra L Natale

Title

Manager

Phone

(813) 949-0745

Specialties & licenses 3

Addresses

Other names 1

• Hailey's Family Services Doing business as

Part of

Hailey'S Family Servicesllc

Locations

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534291200000",
    "number": "1639659147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9219 EVERWOOD CT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473298",
            "telephone_number": "813-949-0745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21754 STATE ROAD 54",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335496901",
            "telephone_number": "813-949-0745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAILEY'S FAMILY SERVICES,LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HAILEY'S FAMILY SERVICES, LLC",
        "enumeration_date": "2018-08-15",
        "last_updated": "2018-08-15",
        "status": "A",
        "authorized_official_last_name": "NATALE",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "813-949-0745"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hailey's Family Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William Adolf Haas, MD
• Thomas Patrick Haban, D.C.
• Habana Health Care Center
• Ihtasham Habib, MD
• Joseph Habib, DMD
• Haylee Haines
• Teri Catherine Hall, PHARM D
• Vonnasia Tasha'Ree Hall
• Jasmine Hamilton
• Amy Marie Hammant

• All providers in Lutz, FL
• Pediatric Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.