Organization Active NPI

Maravida Brandon MGT LLC

  • Assisted Living Facility
  • Brandon, FL
National Provider Identifier
1992622047
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MARAVIDA BRANDON MGT LLC
Practice address
824 N Parsons Ave
Brandon, FL 33510-3435
Phone
(813) 413-6924
NPI assigned
Jun 30, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Authorized official

Name
Roberto Carebetta
Title
Managing Member
Phone
(786) 848-4414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

824 N Parsons Ave
Brandon, FL 33510-3435

Mailing address

824 N Parsons Ave
Brandon, FL 33510-3435

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1782777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1992622047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 N PARSONS AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335103435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 N PARSONS AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335103435",
            "telephone_number": "813-413-6924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARAVIDA BRANDON MGT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-30",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A",
        "authorized_official_last_name": "CAREBETTA",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "786-848-4414"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 30, 2026; 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.