NPIMap

Organization Active NPI

Ava Cares LLC

Doing business as Ava Cares II LLC

  • Assisted Living Facility
  • Brandon, FL
National Provider Identifier
1942693395
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
12620 Issued in FL
Legal business name
AVA CARES LLC
Doing business as
Ava Cares II LLC
Practice address
616 Valle Vista Dr
Brandon, FL 33511-7830
Phone
(813) 300-6177
NPI assigned
Mar 10, 2015
Last updated
Mar 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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

Authorized official

Name
Roger Thomas Derosa
Title
Administrator
Phone
(813) 300-6177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 12620 FL Primary

Addresses

Primary practice location

616 Valle Vista Dr
Brandon, FL 33511-7830

Mailing address

616 Valle Vista Dr
Brandon, FL 33511-7830
Phone (813) 300-6177

Other names 1

  • AVA CARES II LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ava Cares LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1942693395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 VALLE VISTA DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335117830",
            "telephone_number": "813-300-6177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 VALLE VISTA DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335117830",
            "telephone_number": "813-300-6177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVA CARES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-10",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "THOMAS DEROSA",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-300-6177"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "12620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AVA CARES II LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.