Organization Active NPI

San Jose Alf, Inc.

  • Assisted Living Facility
  • Tampa, FL
National Provider Identifier
1699291070
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
12874 Issued in FL
Legal business name
SAN JOSE ALF, INC.
Practice address
8111 N Ola Ave
Tampa, FL 33604-2923
Phone
(813) 252-5134
Fax
(813) 533-9797
NPI assigned
Aug 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Jose Octavio Osorio
Title
President
Phone
(813) 766-8937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 12874 FL Primary

Addresses

Primary practice location

8111 N Ola Ave
Tampa, FL 33604-2923

Mailing address

8111 N Ola Ave
Tampa, FL 33604-2923
Phone (813) 252-5134

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1699291070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8111 N OLA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336042923",
            "telephone_number": "813-252-5134",
            "fax_number": "813-533-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8111 N OLA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336042923",
            "telephone_number": "813-252-5134",
            "fax_number": "813-533-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JOSE ALF, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "OSORIO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "OCTAVIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-766-8937"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "12874",
            "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 Jul 21, 2022; 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.