Organization Active NPI

Adkinson Assisted Living Facilities, LLC

  • Assisted Living Facility
  • Tarpon Springs, FL
National Provider Identifier
1669739835
Registry record updated Apr 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL10013 Issued in FL
Legal business name
ADKINSON ASSISTED LIVING FACILITIES, LLC
Practice address
284 Cypress Trce
Tarpon Springs, FL 34688-8523
Phone
(727) 510-7521
Fax
(727) 344-1839
NPI assigned
Apr 12, 2012
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Ms. Maria Gloria Adkinson, MSW
Title
Administrator
Phone
(727) 344-1839

National Provider Directory

National Provider Directory
Tax ID family
Adkinson Assisted Living Facilities LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL10013 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

284 Cypress Trce
Tarpon Springs, FL 34688-8523

Mailing address

6021 1St Ave N
St Petersburg, FL 33710-8512
Phone (727) 344-1839

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
004140800MedicaidFL

Other names 1

NPPES NPI Registry
  • Casa Buena Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 12, 2012.

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1669739835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6021 1ST AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337108512",
            "telephone_number": "727-344-1839",
            "fax_number": "727-344-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 CYPRESS TRCE",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346888523",
            "telephone_number": "727-510-7521",
            "fax_number": "727-344-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADKINSON ASSISTED LIVING FACILITIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "ADKINSON",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "GLORIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-344-1839",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004140800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Casa Buena",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tarpon Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.