NPIMap

Organization Active NPI

Golden Age Alf of Tampa Bay, Inc.

  • Assisted Living Facility
  • Tampa, FL
National Provider Identifier
1700209533
Registry record updated Jan 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL12443 Issued in FL
Legal business name
GOLDEN AGE ALF OF TAMPA BAY, INC.
Practice address
3328 W Spruce St
Tampa, FL 33607-4225
Phone
(813) 877-6581
Fax
(813) 877-6584
NPI assigned
Jan 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2014

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

Authorized official

Name
Bryan Alejandro Toledo
Title
Owner
Phone
(813) 877-6581

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL12443 FL Primary

Addresses

Primary practice location

3328 W Spruce St
Tampa, FL 33607-4225

Mailing address

3328 W Spruce St
Tampa, FL 33607-4225
Phone (813) 877-6581

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391040000000",
    "number": "1700209533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3328 W SPRUCE ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336074225",
            "telephone_number": "813-877-6581",
            "fax_number": "813-877-6584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3328 W SPRUCE ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336074225",
            "telephone_number": "813-877-6581",
            "fax_number": "813-877-6584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN AGE ALF OF TAMPA BAY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-30",
        "last_updated": "2014-01-30",
        "status": "A",
        "authorized_official_last_name": "TOLEDO",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "ALEJANDRO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-877-6581"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12443",
            "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 Jan 30, 2014; 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.