ANGELS GARDEN ACLF INC (NPI# 1669771572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669771572 |
| Entity Type | Organization |
| Organization Name | ANGELS GARDEN ACLF INC |
| Practice Address |
8003 N Rome Ave Tampa FL 33604-3820 |
| Practice Telephone | 8139334585 |
| Practice Fax Number | 8139333785 |
| Mailing Telephone | 8139334585 |
| Mailing Fax Number | 8139333785 |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2011-03-17 |
| Authorized Official Name | MRS. DELIA VALDES-DIAZ (ADMINISTRATOR) |
| Authorized Official Telephone | 8139334585 |
| Authorized Official Credential | VICE PRESIDENT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
Nursing & Custodial Care Facilities | ||
| N | 311500000X | Alzheimer Center (Dementia Center) | Nursing & Custodial Care Facilities | ||
| N | 315D00000X | Hospice, Inpatient | Nursing & Custodial Care Facilities | ||
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Street Address |
8003 N ROME AVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33604-3820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114578838 | Gail Hartmaier | Technician | 3805 East Crenshaw Street, Tampa, FL 33604 | 2019-09-24 |
| 1023662749 | Yohana Botero | Social Worker | 6620 North Nebraska Ave, Tampa, FL 33604 | 2019-07-31 |
| 1578065025 | Linda Mcclain | Counselor | 7207 North Nebraska Avenue, Tampa, FL 33604 | 2018-03-01 |
| 1851811178 | Rosa Ramirez-tineo | Counselor | 7207 N Nebraska Avenue, Tampa, FL 33604 | 2017-06-27 |
| 1225432651 | Anna Stouffer | Nurse Practitioner | 17 Davis Blvd., Suite 402, Tampa, FL 33604 | 2014-10-14 |
| 1982028601 | Yetey Enterprises Inc Dba Springswater Alf | Assisted Living Facility | 1411 E Waters Ave, Tampa, FL 33604 | 2014-02-17 |
| 1053734301 | Yetey Enterprises Inc | Assisted Living Facility | 8602 N 22nd St, Tampa, FL 33604 | 2014-01-22 |
| 1902232887 | Sierra Alicia Montgomery | Developmental Therapist | 300 E Sligh Ave, Tampa, FL 33604 | 2013-09-23 |
| 1639432305 | Carmen's Goodcare Alf, Corp. | Assisted Living Facility | 908 W Yukon St., Tampa, FL 33604 | 2012-06-19 |
| 1427328913 | Daniellas Alf LLC | Respite Care | 1910 W Fern St, Tampa, FL 33604 | 2011-12-30 |
| Find all providers in zip 33604 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
| 1831704980 | Ocean Breeze Alf LLC | Assisted Living Facility | 4713 Kelly Rd, Tampa, FL 33615-5018 | 2020-09-14 |
| 1770191082 | Twala Neia Atwood | Assisted Living Facility | 3111 W Napoleon Ave, Tampa, FL 33611-5222 | 2020-07-22 |
| 1568080075 | Loving Health Care, Corp II | Assisted Living Facility | 4817 Ridge Point Dr, Tampa, FL 33624-6325 | 2020-07-10 |
| 1063036481 | La Rosa Alf Corp | Assisted Living Facility | 1615 Carnegie Cir, Tampa, FL 33619-5621 | 2020-06-01 |
| 1538783261 | L&y Paradise Alf Corp | Assisted Living Facility | 14314 Capitol Dr, Tampa, FL 33613-2116 | 2020-05-28 |
| 1205467107 | Bella Vita Alf At Latania LLC | Assisted Living Facility | 3413 Latania Dr, Tampa, FL 33618-4759 | 2020-01-29 |
| 1689213605 | Haven Alf, Inc. | Assisted Living Facility | 1514 Haven Bnd, Tampa, FL 33613-1133 | 2019-12-23 |
| 1194362491 | Sh Carrollwood, LLC | Assisted Living Facility | 13550 S Village Dr, Tampa, FL 33618-8420 | 2019-12-05 |
| 1235772062 | Bella Vita Assisted Living Community | Assisted Living Facility | 13202 Lake Magdalene Blvd, Tampa, FL 33618-3008 | 2019-10-24 |
| 1912549296 | Galaad Alf Corp | Assisted Living Facility | 7508 Clearview Dr, Tampa, FL 33634-2930 | 2019-10-08 |
| Find all providers in TAMPA | ||||
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| 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.