Organization Active NPI

Gardens of Time III Corp

  • Assisted Living Facility
  • Tampa, FL
National Provider Identifier
1740856806
Registry record updated May 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
GARDENS OF TIME III CORP
Practice address
2006 W Barclay Rd
Tampa, FL 33612-7544
Phone
(813) 505-5564
NPI assigned
May 31, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2021

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

Authorized official

Name
Martha Medina
Title
Owner
Phone
(813) 505-5564

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

2006 W Barclay Rd
Tampa, FL 33612-7544

Mailing address

2006 W Barclay Rd
Tampa, FL 33612-7544
Phone (813) 505-5564

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1622419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622419200000",
    "number": "1740856806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 W BARCLAY RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336127544",
            "telephone_number": "813-505-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 W BARCLAY RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336127544",
            "telephone_number": "813-505-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDENS OF TIME III CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-31",
        "last_updated": "2021-05-31",
        "certification_date": "2021-05-31",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-505-5564"
    },
    "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 May 31, 2021; 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.