Radika Sims Adult Family Care Home, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

6906519 Issued in FL

Legal business name

RADIKA SIMS ADULT FAMILY CARE HOME, LLC

Practice address

720 Cristelle Jean Dr
Ruskin, FL 33570-7930

Phone

(813) 494-8785

Fax

(813) 419-4327

NPI assigned

Apr 16, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Radika Sims

Title

Owner

Phone

(813) 494-8785

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366070400000",
    "number": "1649613001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 CRISTELLE JEAN DR",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335707930",
            "telephone_number": "813-494-8785",
            "fax_number": "813-419-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 CRISTELLE JEAN DR",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335707930",
            "telephone_number": "813-494-8785",
            "fax_number": "813-419-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIKA SIMS ADULT FAMILY CARE HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-16",
        "last_updated": "2013-04-16",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "RADIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-494-8785",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6906519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004510200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Ruskin, FL
• Providers in Ruskin, 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 Apr 16, 2013; 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.