NPIMap

Organization Active NPI

Ibis Healthcare Inc

  • Substance Abuse Rehabilitation Facility
  • Tampa, FL
National Provider Identifier
1679426423
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
IBIS HEALTHCARE INC
Practice address
2214 E Henry Ave
Tampa, FL 33610-4433
Phone
(813) 368-4000
NPI assigned
Feb 19, 2026
Organization subpart
Yes
Parent organization
IBIS HEALTHCARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Authorized official

Name
Roaya Tyson
Title
Ceo
Phone
(813) 239-8088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

2214 E Henry Ave
Tampa, FL 33610-4433

Mailing address

5707 N 22ND St
Tampa, FL 33610-4350

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2309479Ibis Healthcare, Inc2214 E Henry Ave, Tampa, FL 33610Certificate of waiverAug 14, 2026

National Provider Directory

National Provider Directory
Tax ID family
Mental Health Care17 organizations share this tax ID, including this one
Part of
Mental Health Care

Other organizations with this tax ID 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1771459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776384000000",
    "number": "1679426423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5707 N 22ND ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336104350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2214 E HENRY AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336104433",
            "telephone_number": "813-368-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBIS HEALTHCARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IBIS HEALTHCARE INC",
        "enumeration_date": "2026-02-19",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A",
        "authorized_official_last_name": "TYSON",
        "authorized_official_first_name": "ROAYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-239-8088"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.