Active NPI
Santa Lucia Alf,Inc
- Assisted Living Facility
- Tampa, FL
National Provider Identifier
1760824528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL12334
- Legal business name
- SANTA LUCIA ALF,INC
- Practice address
- 2706 Westhight Ave
Tampa, FL 33614-2859 - Phone
- (813) 935-1710
- NPI assigned
- Jul 22, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marlenes I Fonseca
- Title
- Administrator
- Phone
- (813) 935-1710
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AL12334 | FL | Primary |
Addresses
Primary practice location
2706 Westhight Ave
Tampa, FL 33614-2859
Mailing address
2706 Westhight Ave
Tampa, FL 33614-2859
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374451200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1374451200000",
"number": "1760824528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2706 WESTHIGHT AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336142859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2706 WESTHIGHT AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336142859",
"telephone_number": "813-935-1710"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANTA LUCIA ALF,INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-22",
"last_updated": "2013-07-22",
"status": "A",
"authorized_official_last_name": "FONSECA",
"authorized_official_first_name": "MARLENES",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "813-935-1710"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "FL",
"license": "AL12334",
"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 Jul 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.