Patty's House 3 LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12305 Issued in FL

Legal business name

PATTY'S HOUSE 3 LLC

Practice address

110 E Keysville Road
Plant City, FL 33567

Phone

(813) 737-4757

NPI assigned

Feb 17, 2014

Organization subpart

No

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

Authorized official

Name

Ashley Murphy

Title

Administrator

Phone

(813) 737-4757

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1392595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392595200000",
    "number": "1790109403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E KEYSVILLE ROAD",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "33567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E KEYSVILLE ROAD",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "33567",
            "telephone_number": "813-737-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATTY'S HOUSE 3 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-17",
        "last_updated": "2014-02-17",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-737-4757"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Patel
• Himandri Patel, OD
• Krupa Patel
• Nayankumar Rameshbhai Patel, MD
• Priya Patel, PHARMD
• Rachael Pavone, FNP-C
• Avon Jackson Peacock, RPH
• Pediatrix Medical Group of Florida Inc
• Pediatrix Medical Group of Florida, Inc
• Johanna Pedraza, ARNP

• Assisted Living Facility in Plant City, FL
• Providers in Plant City, 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 Feb 17, 2014; 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.