YETEY ENTERPRISES INC


Address: 3213 E 11th Ave, Tampa, FL 33605
Phone: 8132475852

YETEY ENTERPRISES INC (NPI# 1063836781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063836781
Entity Type Organization
Organization Name YETEY ENTERPRISES INC
Other Organization Name IMMANUEL AT YBOR ASSISTED LIVING FACILITY
Practice Address 3213 E 11th Ave
Tampa
FL 33605
Mailing Address 8602 N 22nd St
Tampa
FL 33604-2104
Practice Telephone 8132475852
Mailing Telephone 8139308370
Enumeration Date 2014-02-17
Last Update Date 2020-04-17
Authorized Official Name ABIODUN ADEGBOLA (ADMINISTRATOR)
Authorized Official Telephone 8132475852
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 3104A0625X Assisted Living Facility
Specialization: Assisted Living, Mental Illness
AL10756 FL Nursing & Custodial Care Facilities
Y 314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
FL 005550800 05

Other Provider/Organization Names

Other Name Type Code
IMMANUEL AT YBOR ASSISTED LIVING FACILITY Doing Business As Name - Organization
YETEY ALF,SPRINGSWATER ALF AND IMMANUEL AT YBOR ALF Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1053734301 Yetey Enterprises Inc Assisted Living Facility 8602 N 22nd St, Tampa, FL 33604 2014-01-22

Office Location

Street Address 3213 E 11TH AVE
City TAMPA
State FL
Zip Code 33605

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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey.

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1568546513 Canterbury Tower Inc. Skilled Nursing Facility 3501 Bayshore Blvd, Tampa, FL 33629-8901 2006-10-25
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1932155918 Fletcher Health Care Associates LLC Skilled Nursing Facility 518 W Fletcher Ave, Tampa, FL 33612-3419 2006-05-25
1699728626 Solomon Holdings I - The Triangle LLC Skilled Nursing Facility 16702 N Dale Mabry Hwy, Tampa, FL 33618-1055 2006-05-19
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City TAMPA
Zip Code 33605

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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