Gloria Alf, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

11700 Issued in FL

Legal business name

GLORIA ALF, INC.

Practice address

16116 Tampa St
Lutz, FL 33548-6125

Phone

(267) 235-3535

NPI assigned

Jul 14, 2015

Organization subpart

No

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

Authorized official

Name

Gregoria Borbon

Title

Administrator

Phone

(267) 235-3535

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436832000000",
    "number": "1700260387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16116 TAMPA ST",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335486125",
            "telephone_number": "267-235-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16116 TAMPA ST",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335486125",
            "telephone_number": "267-235-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORIA ALF, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-14",
        "last_updated": "2015-07-14",
        "status": "A",
        "authorized_official_last_name": "BORBON",
        "authorized_official_first_name": "GREGORIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "267-235-3535"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "11700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Marie Gildemeister
• Alexandra E Gingras, BCBA
• Mariana Giron, M.D.
• Amanda Gladson
• Idljona Gllava, M.D.
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• Tracy Goldberg, DNP
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• Courtney P Goldstein

• Assisted Living Facility in Lutz, FL
• Providers in Lutz, 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 Jul 14, 2015; 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.