Organization Active NPI

Comfort Angels Home Corp

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Tampa, FL
National Provider Identifier
1912378415
Registry record updated Oct 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
COMFORT ANGELS HOME CORP
Practice address
3133 W Lambright St
Tampa, FL 33614-4616
Phone
(786) 663-2607
NPI assigned
Oct 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2015

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

Authorized official

Name
Mr. Jose Miguel Martinez
Title
Ceo
Phone
(786) 663-2607

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

3133 W Lambright St
Tampa, FL 33614-4616

Mailing address

15809 Sapwood St
Tampa, FL 33624-1627
Phone (786) 663-2607

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444348800000",
    "number": "1912378415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15809 SAPWOOD ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241627",
            "telephone_number": "786-663-2607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3133 W LAMBRIGHT ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336144616",
            "telephone_number": "786-663-2607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT ANGELS HOME CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-09",
        "last_updated": "2015-10-09",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "MIGUEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-663-2607",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "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 Oct 9, 2015; 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.