Mountain High Assisted Living Facility

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12220 Issued in FL

Legal business name

MOUNTAIN HIGH ASSISTED LIVING FACILITY

Practice address

3906 E Curtis St
Tampa, FL 33610-6634

Phone

(813) 402-2116

Fax

(813) 442-4463

NPI assigned

Jul 2, 2013

Last updated

Jul 2, 2013By 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. Tonya Lashawn Bell

Title

Owner/Administrator

Phone

(813) 764-1269

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tracy Burr Former legal business name

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372723200000",
    "number": "1801236054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3906 E CURTIS ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336106634",
            "telephone_number": "813-402-2116",
            "fax_number": "813-442-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3906 E CURTIS ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336106634",
            "telephone_number": "813-402-2116",
            "fax_number": "813-442-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN HIGH ASSISTED LIVING FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-02",
        "last_updated": "2013-07-02",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "LASHAWN",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "813-764-1269",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002334200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tracy Burr",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jay Paul Moulton, PA-C
• Jeffrey Lang Moulton, PA-C
• Shannon Miller Moulton, APRN
• Nermine Mounas, APRN
• Kayley Mount
• Syrlane Moura de Albuquerque
• Marc Mourad
• Stephen Mourat, DPM
• Sarah Mourtada, MD
• Chrestine Mousa

• 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 Jul 2, 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.

Verify at the official NPI Registry.