NPIMap

Organization Active NPI

La Bella Vida Alf III

  • Assisted Living Facility
  • Tampa, FL
National Provider Identifier
1891110565
Registry record updated Mar 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
LA BELLA VIDA ALF III
Practice address
14053 Briardale LN
Tampa, FL 33618-2218
Phone
(813) 240-5478
NPI assigned
Mar 4, 2014
Last updated
Mar 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2014

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

Authorized official

Name
Mavel Infante
Title
Administrator
Phone
(813) 240-5478

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X FL Primary

Addresses

Primary practice location

14053 Briardale LN
Tampa, FL 33618-2218

Mailing address

14053 Briardale LN
Tampa, FL 33618-2218

National Provider Directory

National Provider Directory
Tax ID family
La Bella Vida Alf 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": "1393891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393891200000",
    "number": "1891110565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14053 BRIARDALE LN",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14053 BRIARDALE LN",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182218",
            "telephone_number": "813-240-5478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA BELLA VIDA ALF III",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-04",
        "last_updated": "2014-03-04",
        "status": "A",
        "authorized_official_last_name": "INFANTE",
        "authorized_official_first_name": "MAVEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-240-5478"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "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 Mar 4, 2014; 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.