Faith Home Care Alf Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12447 Issued in FL

Legal business name

FAITH HOME CARE ALF INC.

Practice address

114 Euclid Ave
Seffner, FL 33584-8000

Phone

(813) 689-1922

Fax

(813) 689-1900

NPI assigned

Mar 12, 2014

Last updated

Feb 22, 2016By 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

Mrs. Rosalyn Yvette Green

Title

Owner/Administrator

Phone

(813) 689-1922

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456099200000",
    "number": "1801212097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 EUCLID AVE",
            "city": "SEFFNER",
            "state": "FL",
            "postal_code": "335848000",
            "telephone_number": "813-689-1922",
            "fax_number": "813-689-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 EUCLID AVE",
            "city": "SEFFNER",
            "state": "FL",
            "postal_code": "335848000",
            "telephone_number": "813-689-1922",
            "fax_number": "813-689-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH HOME CARE ALF INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-12",
        "last_updated": "2016-02-22",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "ROSALYN",
        "authorized_official_middle_name": "YVETTE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "813-689-1922",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12447",
            "primary": true
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Seffner, FL
• Providers in Seffner, 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 22, 2016; 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.