Organization Active NPI

Larry'S Family 1 Care Alf, LLC

  • Assisted Living Facility
  • Tampa, FL
National Provider Identifier
1740778901
Registry record updated Apr 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
LARRY'S FAMILY 1 CARE ALF, LLC
Practice address
4402 W Minnehaha St
Tampa, FL 33614
Phone
(813) 841-9823
Fax
(813) 999-1077
NPI assigned
Apr 24, 2018
Organization subpart
Yes
Parent organization
LARRY'S FAMILY 2 CARE ALF,LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 24, 2018

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

Authorized official

Name
Larry ValdesNPI 1306361266
Title
MGM
Phone
(813) 841-9823

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

4402 W Minnehaha St
Tampa, FL 33614

Mailing address

4402 W Minnehaha St
Tampa, FL 33614-3638
Phone (813) 841-9823

National Provider Directory

National Provider Directory
Tax ID family
Larry'S Family 1 Care Alf LLC2 organizations share this tax ID, including this one
Part of
Larry'S Family 1 Care Alf LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "1524528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524528000000",
    "number": "1740778901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4402 W MINNEHAHA ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143638",
            "telephone_number": "813-841-9823",
            "fax_number": "813-999-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4402 W MINNEHAHA ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33614",
            "telephone_number": "813-841-9823",
            "fax_number": "813-999-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY'S FAMILY 1 CARE ALF, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LARRY'S FAMILY 2 CARE ALF,LLC",
        "enumeration_date": "2018-04-24",
        "last_updated": "2018-04-24",
        "status": "A",
        "authorized_official_last_name": "VALDES",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "MGM",
        "authorized_official_telephone_number": "813-841-9823"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "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 Apr 24, 2018; 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.