NPIMap

Organization Active NPI

Devanicaspecialtycare

  • In Home Supportive Care Agency
  • Tampa, FL
National Provider Identifier
1689908063
Registry record updated Oct 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
230468 Issued in FL
Legal business name
DEVANICASPECIALTYCARE
Practice address
7513 Fragancia CT
Tampa, FL 33615-2418
Phone
(813) 727-1611
Fax
(813) 901-8888
NPI assigned
Oct 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2009

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

Authorized official

Name
Mr. Alberto David Mendez Jr., 011170
Title
Owner
Phone
(813) 727-1611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 230468 FL Primary

Addresses

Primary practice location

7513 Fragancia CT
Tampa, FL 33615-2418

Mailing address

7513 Fragancia CT
Tampa, FL 33615-2418
Phone (813) 727-1611

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254355200000",
    "number": "1689908063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7513 FRAGANCIA CT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336152418",
            "telephone_number": "813-727-1611",
            "fax_number": "813-901-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7513 FRAGANCIA CT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336152418",
            "telephone_number": "813-727-1611",
            "fax_number": "813-901-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVANICASPECIALTYCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-01",
        "last_updated": "2009-10-01",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "ALBERTO",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-727-1611",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "011170"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "230468",
            "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 Oct 1, 2009; 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.