NPIMap

Organization Active NPI

Touched by Faith Inc

  • Assisted Living Facility (Mental Illness)
  • St Petersburg, FL
National Provider Identifier
1861828394
Registry record updated Sep 16, 2013
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Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
AL11520 Issued in FL
Legal business name
TOUCHED BY FAITH INC
Practice address
351 15TH St N
Saint Petersburg, FL 33705-2015
Phone
(727) 289-1916
NPI assigned
Sep 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2013

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

Authorized official

Name
Marcus Anderson
Title
Ceo
Phone
(813) 380-9843

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X AL11520 FL Primary

Addresses

Primary practice location

351 15TH St N
Saint Petersburg, FL 33705-2015

Mailing address

PO Box 35465
Saint Petersburg, FL 33705-0508
Phone (727) 289-1916

Other identifiers 1

IdentifierTypeStateIssuer
001142200MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Touched by Faith Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1379289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379289600000",
    "number": "1861828394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35465",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337050508",
            "telephone_number": "727-289-1916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 15TH ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337052015",
            "telephone_number": "727-289-1916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOUCHED BY FAITH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-16",
        "last_updated": "2013-09-16",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-380-9843"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "AL11520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001142200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; 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.