Ocean Breeze Alf LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

OCEAN BREEZE ALF LLC

Practice address

4713 Kelly Rd
Tampa, FL 33615-5018

Phone

(813) 417-8203

Fax

(813) 243-8492

NPI assigned

Sep 14, 2020

Organization subpart

No

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

Authorized official

Name

Mavie Benitez

Title

Administrator/Owner

Phone

(813) 417-8203

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1831704980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4713 KELLY RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336155018",
            "telephone_number": "813-417-8203",
            "fax_number": "813-243-8492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4713 KELLY RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336155018",
            "telephone_number": "813-417-8203",
            "fax_number": "813-243-8492"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15707 Pony Pl",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336241529",
            "country_code": "US",
            "telephone_number": "813-417-8203",
            "fax_number": "813-243-8492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OCEAN BREEZE ALF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-14",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "BENITEZ",
        "authorized_official_first_name": "MAVIE",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "813-417-8203"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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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 Apr 25, 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.