Organization Active NPI

Envisage Abundance, Inc.

  • In Home Supportive Care Agency
  • Tampa, FL
National Provider Identifier
1821386434
Registry record updated Jul 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ENVISAGE ABUNDANCE, INC.
Practice address
1417 Tampa Park Plaza St
Tampa, FL 33605-4821
Phone
(813) 516-6276
NPI assigned
Jul 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2011

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

Authorized official

Name
Mr. Bertram Andrews-Powley III
Title
Ceo and Founder
Phone
(813) 516-6276

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Voluntary or Charitable Agency 251V00000X
Early Intervention Provider Agency 252Y00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1417 Tampa Park Plaza St
Tampa, FL 33605-4821

Mailing address

PO Box 310328
Tampa, FL 33680-0328
Phone (813) 516-6276

National Provider Directory

National Provider Directory

Locations

1417 Tampa Park Plaza St
Tampa, FL 33605
Phone (813) 516-6276

NPI Registry JSON

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

{
    "created_epoch": "1310860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310860800000",
    "number": "1821386434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310328",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336800328",
            "telephone_number": "813-516-6276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 TAMPA PARK PLAZA ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336054821",
            "telephone_number": "813-516-6276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISAGE ABUNDANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-17",
        "last_updated": "2011-07-17",
        "status": "A",
        "authorized_official_last_name": "ANDREWS-POWLEY",
        "authorized_official_first_name": "BERTRAM",
        "authorized_official_title_or_position": "CEO AND FOUNDER",
        "authorized_official_telephone_number": "813-516-6276",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 17, 2011; 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.