NPIMap

Organization Active NPI

Villa la Esperanza II, LLC

  • Assisted Living Facility
  • Tampa, FL
National Provider Identifier
1922378801
Registry record updated Jul 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL-11788 Issued in FL
Legal business name
VILLA LA ESPERANZA II, LLC
Practice address
6021 W Paris St
Tampa, FL 33634-5146
Phone
(813) 842-9709
Fax
(813) 886-7152
NPI assigned
Jan 9, 2012
Last updated
Jul 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2012

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

Authorized official

Name
Sonia Medina
Title
Owner
Phone
(813) 842-9709

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL-11788 FL Primary

Addresses

Primary practice location

6021 W Paris St
Tampa, FL 33634-5146

Mailing address

6021 W Paris St
Tampa, FL 33634-5146
Phone (813) 842-9709

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1326067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343174400000",
    "number": "1922378801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6021 W PARIS ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336345146",
            "telephone_number": "813-842-9709",
            "fax_number": "813-886-7152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6021 W PARIS ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336345146",
            "telephone_number": "813-842-9709",
            "fax_number": "813-886-7152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA LA ESPERANZA II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-09",
        "last_updated": "2012-07-25",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "SONIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-842-9709"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL-11788",
            "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 Jul 25, 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.