Organization Active NPI

Boss 1 LLC

  • Developmentally Disabled Services Day Training Agency
  • Tampa, FL
National Provider Identifier
1992414023
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
BOSS 1 LLC
Practice address
3314 Henderson Blvd Ste 100P
Tampa, FL 33609-2999
Phone
(813) 516-2823
Fax
(813) 569-6713
NPI assigned
Nov 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Authorized official

Name
Margaret A Simon
Title
Admoinistrator
Phone
(813) 516-2823

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

3314 Henderson Blvd Ste 100P
Tampa, FL 33609-2999

Mailing address

3314 Henderson Blvd Ste 100P
Tampa, FL 33609-2999
Phone (813) 516-2823

Other names 1

  • Boss 1 LLC Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668643200000",
    "number": "1992414023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3314 HENDERSON BLVD STE 100P",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092999",
            "telephone_number": "813-516-2823",
            "fax_number": "813-569-6713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3314 HENDERSON BLVD STE 100P",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092999",
            "telephone_number": "813-516-2823",
            "fax_number": "813-569-6713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSS 1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-17",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMOINISTRATOR",
        "authorized_official_telephone_number": "813-516-2823"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boss 1 LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Nov 17, 2022; 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.