Tambolina Adult Day Care Center

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

TAMBOLINA ADULT DAY CARE CENTER

Doing business as

Tambolina Adult Day Care Center
Tambolina Adult Day Care Center, Inc

Practice address

1627 Rogero Rd # 1627
Jacksonville, FL 32211-4866

Phone

(904) 651-1544

Fax

(904) 240-0309

NPI assigned

Sep 11, 2020

Last updated

Sep 11, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tamba Medza Momorie, EDD

Title

Presiden

Phone

(904) 629-9922

Specialties & licenses 1

Addresses

Other names 2

• TAMBOLINA ADULT DAY CARE CENTER Doing business as
• TAMBOLINA ADULT DAY CARE CENTER, INC Doing business as

Locations

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599782400000",
    "number": "1649885054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1627 ROGERO RD # 1627",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322114866",
            "telephone_number": "904-651-1544",
            "fax_number": "904-240-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 ROGERO RD # 1627",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322114866",
            "telephone_number": "904-651-1544",
            "fax_number": "904-240-0309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMBOLINA ADULT DAY CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-11",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A",
        "authorized_official_last_name": "MOMORIE",
        "authorized_official_first_name": "TAMBA",
        "authorized_official_middle_name": "MEDZA",
        "authorized_official_title_or_position": "PRESIDEN",
        "authorized_official_telephone_number": "904-629-9922",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TAMBOLINA ADULT DAY CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TAMBOLINA ADULT DAY CARE CENTER, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mernamie Castardo Taman, ARNP/NURSE PRACTITIO
• Robi E Tamargo, PSYD
• Christine Alexis Tamayo, MD
• Jesus Tamayo, COTA
• Tambolina Adult Day Care (Tambolina Day Center)
• Tambolina Services Community Resident Home, Inc
• Tambolina Services, Inc
• Lynne Tamplin, PT
• Allura Kaylen Tan
• Benjamin Tian-Hai Tan, DO

• Adult Day Care Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Adult Day Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; 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.