Tampa Housing Authority

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL10256 Issued in FL

Legal business name

TAMPA HOUSING AUTHORITY

Practice address

5121 Serena Dr
Tampa, FL 33617-4032

Phone

(813) 988-0033

Fax

(813) 984-9881

NPI assigned

Nov 15, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Concepcion T Bretos

Title

Manager/Ceo

Phone

(305) 864-4248

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Palm Terrace Assisted Living Facility & Adult Daycare center Doing business as

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1669716668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5121 SERENA DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336174032",
            "telephone_number": "813-988-0033",
            "fax_number": "813-984-9881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5121 SERENA DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336174032",
            "telephone_number": "813-988-0033",
            "fax_number": "813-984-9881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA HOUSING AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "BRETOS",
        "authorized_official_first_name": "CONCEPCION",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MANAGER/CEO",
        "authorized_official_telephone_number": "305-864-4248",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "685253000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141867000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm Terrace Assisted Living Facility & Adult Daycare center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Jan 13, 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.