Liberty Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL10691 Issued in FL

Legal business name

LIBERTY ASSISTED LIVING

Doing business as

Central Tampa Assisted Living

Practice address

5010 N 40TH St
Tampa, FL 33610-5202

Phone

(813) 663-9696

Fax

(813) 663-9494

NPI assigned

Oct 8, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Nimet Allibhai

Title

Office Manager

Phone

(813) 663-9696

Specialties & licenses 1

Addresses

Other names 1

• Central Tampa Assisted Living Doing business as

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

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254960000000",
    "number": "1780919779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 N 40TH ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336105202",
            "telephone_number": "813-663-9696",
            "fax_number": "813-663-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 N 40TH ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336105202",
            "telephone_number": "813-663-9696",
            "fax_number": "813-663-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-08",
        "last_updated": "2009-10-08",
        "status": "A",
        "authorized_official_last_name": "ALLIBHAI",
        "authorized_official_first_name": "NIMET",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "813-663-9696",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Tampa Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jenie Liang Jonas, PH.D.
• Brian Neil Liao
• A'Jiah Joah Lias
• Peter Vincent Libero, M.D.
• Adelina Liberto, LCSW
• Liberty Club Seniors Inc
• Liberty Dental Plan of Florida, Inc.
• Liberty Dental Plan of Florida, Inc.
• Liberty Dental Plan of Florida, Inc.
• Liberty Dental Plan of Florida, Inc.

• 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 Oct 8, 2009; 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.