Active NPI
Comfort Angels Home Corp
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Tampa, FL
National Provider Identifier
1912378415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.