Organization Active NPI

The Abigail Assisted Living

  • Assisted Living Facility
  • Tampa, FL
National Provider Identifier
1700405412
Registry record updated Apr 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
THE ABIGAIL ASSISTED LIVING
Practice address
320 S Delaware Ave
Tampa, FL 33606-2106
Phone
(813) 258-2919
NPI assigned
Apr 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2020

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

Authorized official

Name
Karen Barcia Rodriguez
Title
Administrator
Phone
(813) 258-2919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

320 S Delaware Ave
Tampa, FL 33606-2106

Mailing address

2626 N Dundee St
Tampa, FL 33629-7517
Phone (813) 810-2118

Other identifiers 1

IdentifierTypeStateIssuer
10498OtherFLAGENCY FOR HEALTH CARE ADMINISTRATION LICENSE

National Provider Directory

National Provider Directory

Locations

320 S Delaware Ave
Tampa, FL 33606
Phone (813) 258-2919

NPI Registry JSON

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586736000000",
    "number": "1700405412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 N DUNDEE ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336297517",
            "telephone_number": "813-810-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 S DELAWARE AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062106",
            "telephone_number": "813-258-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ABIGAIL ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-13",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "BARCIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-258-2919"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGENCY FOR HEALTH CARE ADMINISTRATION LICENSE",
            "identifier": "10498",
            "state": "FL"
        }
    ],
    "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 13, 2020; 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.