Nina's House Alf, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

NINA'S HOUSE ALF, INC

Practice address

2312 W Powhatan Ave
Tampa, FL 33603-1045

Phone

(813) 810-4210

NPI assigned

Apr 20, 2021

Last updated

Apr 20, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daima Cancio

Title

Owner

Phone

(813) 810-4210

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618876800000",
    "number": "1780265637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2312 W POWHATAN AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336031045",
            "telephone_number": "813-810-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 W POWHATAN AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336031045",
            "telephone_number": "813-810-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NINA'S HOUSE ALF, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-20",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-16",
        "status": "A",
        "authorized_official_last_name": "CANCIO",
        "authorized_official_first_name": "DAIMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-810-4210"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "13580",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ninashouse0320@gmail.com",
            "affiliation": "N",
            "address_1": "2312 W Powhatan Ave",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336031045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Assisted Living Facility in Tampa, FL
• Providers in Tampa, 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 Apr 20, 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.