Acosta Care Home, Inc

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

ACOSTA CARE HOME, INC

Practice address

2411 W North B St
Tampa, FL 33609-2375

Phone

(813) 340-8564

NPI assigned

Feb 10, 2022

Organization subpart

No

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

Authorized official

Name

Lisette Acosta

Title

President

Phone

(813) 340-8564

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1644451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644451200000",
    "number": "1821742529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 W NORTH B ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092375",
            "telephone_number": "813-340-8564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 W NORTH B ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092375",
            "telephone_number": "813-340-8564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACOSTA CARE HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-10",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "LISETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-340-8564"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Tampa",
            "affiliation": "N",
            "address_1": "2411 W North B St",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336092375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tyler M Ackley, CRNA
• Aclaris Care Home, Inc.
• Aclaris Home Health, LLC.
• Acorn Health of Florida, LLC
• Acosta Angel Hands Aide Inc
• Suset Acosta Diaz
• Daris A Acosta Hernandez, FNP-C
• Roynilxe Acosta Santana
• Anika Maria Acosta Vazquez
• David Ricardo Acosta Villamizar, SA-C

• Developmental Disabilities Clinic/Center in Tampa, FL
• Providers in Tampa, FL by specialty
• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.