NPIMap

Organization Active NPI

Nini'S TLC Corp

  • Assisted Living Facility
  • Tampa, FL
National Provider Identifier
1972807907
Registry record updated Jan 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL11676 Issued in FL
Legal business name
NINI'S TLC CORP
Practice address
5118 El Dorado Dr
Tampa, FL 33615-4712
Phone
(813) 885-2170
Fax
(813) 885-2183
NPI assigned
Jan 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2011

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

Authorized official

Name
Miss Enid Fleitas
Title
President
Phone
(813) 885-2170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL11676 FL Primary

Addresses

Primary practice location

5118 El Dorado Dr
Tampa, FL 33615-4712

Mailing address

5118 El Dorado Dr
Tampa, FL 33615-4712
Phone (813) 885-2170

Other identifiers 1

IdentifierTypeStateIssuer
001573800MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Nini'S TLC Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1294185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294185600000",
    "number": "1972807907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5118 EL DORADO DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336154712",
            "telephone_number": "813-885-2170",
            "fax_number": "813-885-2183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5118 EL DORADO DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336154712",
            "telephone_number": "813-885-2170",
            "fax_number": "813-885-2183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NINI'S TLC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-05",
        "last_updated": "2011-01-05",
        "status": "A",
        "authorized_official_last_name": "FLEITAS",
        "authorized_official_first_name": "ENID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-885-2170",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001573800",
            "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 Jan 5, 2011; 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.