Organization Active NPI

Migdalia's Aclf

  • Assisted Living Facility
  • Tampa, FL
National Provider Identifier
1942613351
Registry record updated Jun 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
006683 Issued in FL
Legal business name
MIGDALIA'S ACLF
Practice address
2302 N Lincoln Ave
Tampa, FL 33607-3135
Phone
(813) 879-6980
Fax
(813) 879-8518
NPI assigned
Jun 4, 2014
Last updated
Jun 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2014

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

Authorized official

Name
Mrs. Taileen Gonzales
Title
Administrator
Phone
(813) 325-6906

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 006683 FL Primary

Addresses

Primary practice location

2302 N Lincoln Ave
Tampa, FL 33607-3135

Mailing address

2302 N Lincoln Ave
Tampa, FL 33607-3135
Phone (813) 879-6980

Other identifiers 1

IdentifierTypeStateIssuer
007880700MedicaidFL

National Provider Directory

National Provider Directory

Locations

2302 N Lincoln Ave
Tampa, FL 33607
Phone (813) 879-6980

NPI Registry JSON

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401840000000",
    "number": "1942613351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 N LINCOLN AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336073135",
            "telephone_number": "813-879-6980",
            "fax_number": "813-879-8518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 N LINCOLN AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336073135",
            "telephone_number": "813-879-6980",
            "fax_number": "813-879-8518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIGDALIA'S ACLF",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-04",
        "last_updated": "2014-06-04",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "TAILEEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-325-6906",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "006683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007880700",
            "state": "FL"
        }
    ],
    "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 Jun 4, 2014; 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.