Organization Active NPI

Alk Florida, LLC

  • Adult Day Care Clinic/Center
  • Tampa, FL
National Provider Identifier
1649636309
Registry record updated Jan 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
ALK FLORIDA, LLC
Practice address
9309 N Florida Ave Ste 101
Tampa, FL 33612-7237
Phone
(813) 559-9545
Fax
(813) 559-9547
NPI assigned
Jan 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2016

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

Authorized official

Name
Katrina Osborne
Title
Administrator
Phone
(813) 559-9545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

9309 N Florida Ave Ste 101
Tampa, FL 33612-7237

Mailing address

9309 N Florida Ave Ste 101
Tampa, FL 33612-7237
Phone (813) 559-9545

Other names 1

  • Pearlena's Adult Activity Center Doing business as

National Provider Directory

National Provider Directory

Locations

9309 N Florida Ave
Ste 101
Tampa, FL 33612
Phone (813) 559-9545

NPI Registry JSON

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

{
    "created_epoch": "1452470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452470400000",
    "number": "1649636309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9309 N FLORIDA AVE STE 101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336127237",
            "telephone_number": "813-559-9545",
            "fax_number": "813-559-9547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9309 N FLORIDA AVE STE 101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336127237",
            "telephone_number": "813-559-9545",
            "fax_number": "813-559-9547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALK FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-11",
        "last_updated": "2016-01-11",
        "status": "A",
        "authorized_official_last_name": "OSBORNE",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-559-9545"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearlena's Adult Activity Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.