Nueva Vida Alf II Inc

Primary specialty

Respite CareTaxonomy code 385H00000X

License

AL12442 Issued in FL

Legal business name

NUEVA VIDA ALF II INC

Practice address

2827 Max Smith Rd
Lutz, FL 33559

Phone

(813) 766-2376

Fax

(813) 388-9782

NPI assigned

Dec 17, 2013

Organization subpart

No

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

Authorized official

Name

Rayza Camman

Title

Administrator

Phone

(813) 766-2376

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1387238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387238400000",
    "number": "1932520004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2827 MAX SMITH RD",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "33559",
            "telephone_number": "813-766-2376",
            "fax_number": "813-388-9782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2827 MAX SMITH RD",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "33559",
            "telephone_number": "813-766-2376",
            "fax_number": "813-388-9782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUEVA VIDA ALF II INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-17",
        "last_updated": "2013-12-17",
        "status": "A",
        "authorized_official_last_name": "CAMMAN",
        "authorized_official_first_name": "RAYZA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-766-2376"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "FL",
            "license": "AL12442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Bay Spine and Rehab
• Ariel Renee North
• Kendall Brodie Northcutt, PA-C
• Carolyn Ann Norton, DMD
• Novem Dermatology, P.a.
• Kimberly Nunez, PHARMD
• Ryan Nurge, HIS
• Ann D. O'Brien, MA
• Morgan B O'Connor, M.S, CFY-SLP
• Kelsey O'Neill

• Respite Care in Lutz, FL
• Providers in Lutz, FL by specialty
• Respite Care in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; 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.