Ronny'S Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL13116 Issued in FL

Legal business name

RONNY'S ASSISTED LIVING LLC

Practice address

8016 Dell Dr
Tampa, FL 33615-4621

Phone

(813) 449-3877

Fax

(844) 633-5300

NPI assigned

Jul 1, 2017

Organization subpart

No

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

Authorized official

Name

Yaines Perdomo

Title

Owner/Administrator

Phone

(813) 449-3877

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1498867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520899200000",
    "number": "1669993499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2903 W SAINT CONRAD ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336072922",
            "telephone_number": "813-449-3877",
            "fax_number": "844-633-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8016 DELL DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336154621",
            "telephone_number": "813-449-3877",
            "fax_number": "844-633-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONNY'S ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-01",
        "last_updated": "2018-03-13",
        "status": "A",
        "authorized_official_last_name": "PERDOMO",
        "authorized_official_first_name": "YAINES",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "813-449-3877"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL13116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023553100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Rondon, ARNP
• Rafael Augusto Rondon, MD
• Rafael R Rondon, RDH
• Bonnie Roney, RD
• Pamela J Roney, RD
• Ronny'S Assisted Living LLC
• James J Ronzo, DO
• Sarah Roof, MS
• Ramak Roohipourmoallai, MD
• Jayme Nicole Rook, RPH

• 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 13, 2018; 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.