Heritage Alf of Plant City Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

5108 Issued in FL

Legal business name

HERITAGE ALF OF PLANT CITY INC

Practice address

1307 E Baker St
Plant City, FL 33563-5801

Phone

(813) 752-1648

Fax

(813) 764-8270

NPI assigned

Nov 9, 2012

Organization subpart

No

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

Authorized official

Name

Sam E Smith

Title

Ed

Phone

(813) 752-1648

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1352419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352419200000",
    "number": "1922352129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 E BAKER ST",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335635801",
            "telephone_number": "813-752-1648",
            "fax_number": "813-764-8270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 E BAKER ST",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335635801",
            "telephone_number": "813-752-1648",
            "fax_number": "813-764-8270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE ALF OF PLANT CITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-09",
        "last_updated": "2012-11-09",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SAM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ED",
        "authorized_official_telephone_number": "813-752-1648"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "5108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Plant City, FL
• Providers in Plant City, 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 Nov 9, 2012; 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.