Elysian Gardens LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ELYSIAN GARDENS LLC

Doing business as

Elysian Gardens Assisted Living Facility of Tampa

Practice address

312 E 124TH Ave
Tampa, FL 33612-4305

Phone

(813) 932-3618

NPI assigned

Nov 17, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Alfredo Escobar

Title

Manager

Phone

(786) 371-4396

Specialties & licenses 1

Addresses

Other names 1

• ELYSIAN GARDENS ASSISTED LIVING FACILITY OF TAMPA Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637107200000",
    "number": "1811653512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 E 124TH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336124305",
            "telephone_number": "813-932-3618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 E 124TH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336124305",
            "telephone_number": "813-932-3618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELYSIAN GARDENS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-17",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A",
        "authorized_official_last_name": "ESCOBAR",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "786-371-4396",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aescobar@elysian-gardens.com",
            "affiliation": "N",
            "address_1": "312 E 124th Ave",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336124305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ELYSIAN GARDENS ASSISTED LIVING FACILITY OF TAMPA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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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 Nov 17, 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.