Our Palacee Alf

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

OUR PALACEE ALF

Practice address

6906 N Glen Ave
Tampa, FL 33614-4506

Phone

(813) 510-8628

NPI assigned

Jul 11, 2019

Organization subpart

No

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

Authorized official

Name

Anamarys D Reyes

Title

Administrator

Phone

(813) 510-8628

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562803200000",
    "number": "1659923548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6906 N GLEN AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336144506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6906 N GLEN AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336144506",
            "telephone_number": "813-510-8628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR PALACEE ALF",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-11",
        "last_updated": "2019-07-11",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "ANAMARYS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-510-8628"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Ourpalaceealf@gmail.com",
            "affiliation": "N",
            "address_1": "6906 N Glen Ave",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336144506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Outside the Box ABA Consultation, LLC

• Assisted Living Facility in Tampa, FL
• Providers in Tampa, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; 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.