The Abuelo'S Quiet Village Alf

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

12938 Issued in FL

Legal business name

THE ABUELO'S QUIET VILLAGE ALF

Practice address

2307 W Saint Joseph St
Tampa, FL 33607-1651

Phone

(813) 468-4890

NPI assigned

Mar 21, 2017

Organization subpart

No

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

Authorized official

Name

Pedro A VelazquezNPI 1326581836

Title

Owner

Phone

(813) 468-4890

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pedro Velazquez

  • Assisted Living Facility
  • Tampa, FL
  • NPI 1326581836
  NPD (past) Authorized official

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1669903704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 W SAINT JOSEPH ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336071651",
            "telephone_number": "813-468-4890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 W SAINT JOSEPH ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336071651",
            "telephone_number": "813-468-4890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ABUELO'S QUIET VILLAGE ALF",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-21",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "VELAZQUEZ",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-468-4890"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "12938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Margaret Thayer, ARNP
• Loui Thayil
• Mereena Thayil
• The Abigail Assisted Living
• The Abigail Group
• The Alexas Inc
• The Anxiety Center of Tampa Bay, PLLC
• The Best Doctors Ipa
• The Best Medical Choice Services LLC
• The Best Senior Meals, 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 Mar 21, 2017; 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.