NPIMap

Organization Active NPI

Ava Cares, LLC

Doing business as Ava Cares V

  • Assisted Living Facility
  • Plant City, FL
National Provider Identifier
1649631292
Registry record updated Mar 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL-11771 Issued in FL
Legal business name
AVA CARES, LLC
Doing business as
Ava Cares V
Practice address
306 W Grant St
Plant City, FL 33563-6828
Phone
(813) 300-6177
NPI assigned
Mar 10, 2016
Last updated
Mar 10, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2016

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

Authorized official

Name
Mr. Roger T Derosa
Title
Owner
Phone
(813) 300-6177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL-11771 FL Primary

Addresses

Primary practice location

306 W Grant St
Plant City, FL 33563-6828

Mailing address

1007 Brooker Rd
Brandon, FL 33511-7619
Phone (813) 300-6177

Other names 1

  • Ava Cares V Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ava Cares LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1007 Brooker Rd
Brandon, FL 33511
Phone (813) 300-6177

NPI Registry JSON

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457568000000",
    "number": "1649631292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 BROOKER RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335117619",
            "telephone_number": "813-300-6177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W GRANT ST",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335636828",
            "telephone_number": "813-300-6177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVA CARES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-10",
        "last_updated": "2016-03-10",
        "status": "A",
        "authorized_official_last_name": "DEROSA",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-300-6177",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL-11771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ava Cares V",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plant City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.