Organization Active NPI

Ocean Breeze Alf LLC III

  • Assisted Living Facility
  • Tampa, FL
National Provider Identifier
1811743222
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
OCEAN BREEZE ALF LLC III
Practice address
15707 Pony PL
Tampa, FL 33624-1529
Phone
(813) 767-7969
Fax
(813) 243-8492
NPI assigned
Apr 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Authorized official

Name
Sergio Breeze Alf Ramos
Title
Owner
Phone
(813) 767-7969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

15707 Pony PL
Tampa, FL 33624-1529

Mailing address

15707 Pony PL
Tampa, FL 33624-1529
Phone (813) 767-7969

Other names 1

  • Ocean Breeze ALF LLC III Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1714089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714089600000",
    "number": "1811743222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15707 PONY PL",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241529",
            "telephone_number": "813-767-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15707 PONY PL",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241529",
            "telephone_number": "813-767-7969",
            "fax_number": "813-243-8492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN BREEZE ALF LLC III",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-26",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_middle_name": "BREEZE ALF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-767-7969"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ocean Breeze ALF LLC III",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; 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.