A Place to Grow LCC Alf

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL 12293 Issued in FL

Legal business name

A PLACE TO GROW LCC ALF

Practice address

109 Valley Dr
Brandon, FL 33510-2545

Phone

(813) 689-6346

Fax

(813) 689-6346

NPI assigned

Dec 6, 2012

Last updated

Dec 6, 2012By 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. Heather Toledo

Title

Owner

Phone

(813) 469-6764

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354752000000",
    "number": "1831434547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 VALLEY DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335102545",
            "telephone_number": "813-689-6346",
            "fax_number": "813-689-6346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 VALLEY DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335102545",
            "telephone_number": "813-689-6346",
            "fax_number": "813-689-6346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A PLACE TO GROW LCC ALF",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-06",
        "last_updated": "2012-12-06",
        "status": "A",
        "authorized_official_last_name": "TOLEDO",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-469-6764",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL 12293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Brandon, FL
• Providers in Brandon, 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 Dec 6, 2012; 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.