Organization Active NPI

Fashgate Investment, LLC

Doing business as Wellswood Care Center

  • Assisted Living Facility
  • Tampa, FL
National Provider Identifier
1942481767
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL11509 Issued in FL
Legal business name
FASHGATE INVESTMENT, LLC
Doing business as
Wellswood Care Center
Practice address
907 Clanton Ave
Tampa, FL 33603-1703
Phone
(813) 232-2127
NPI assigned
Nov 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Authorized official

Name
Mrs. Tinuola A Fasonu
Title
Administrator
Phone
(813) 965-1829

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL11509 FL Primary

Addresses

Primary practice location

907 Clanton Ave
Tampa, FL 33603-1703

Mailing address

907 Clanton Ave
Tampa, FL 33603-1703

Other names 1

  • Wellswood Care Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1942481767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 CLANTON AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336031703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 CLANTON AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336031703",
            "telephone_number": "813-232-2127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FASHGATE INVESTMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "FASONU",
        "authorized_official_first_name": "TINUOLA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-965-1829",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellswood Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 16, 2008; 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.