LIBERTY ASSISTED LIVING (NPI# 1780919779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780919779 |
| Entity Type | Organization |
| Organization Name | LIBERTY ASSISTED LIVING |
| Other Organization Name | CENTRAL TAMPA ASSISTED LIVING |
| Practice Address |
5010 N 40th St Tampa FL 33610-5202 |
| Practice Telephone | 8136639696 |
| Practice Fax Number | 8136639494 |
| Mailing Telephone | 8136639696 |
| Mailing Fax Number | 8136639494 |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2009-10-08 |
| Authorized Official Name | MRS. NIMET ALLIBHAI (OFFICE MANAGER) |
| Authorized Official Telephone | 8136639696 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | AL10691 | FL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Central Tampa Assisted Living | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366603243 | Liberty Assisted Living | Assisted Living Facility | 5890 Cypress Gardens Blvd, Winter Haven, FL 33884-2274 | 2008-06-23 |
| Street Address |
5010 N 40TH ST |
| City | TAMPA |
| State | FL |
| Zip Code | 33610-5202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326517053 | Family Extended Care of Central Tampa, Inc. | Assisted Living Facility | 5010 N 40th St, Tampa, FL 33610-5202 | 2018-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184273161 | Mayra Iris Pesante Lopez | Behavior Technician | 10150 Highlands Manor Drive Suite 200, Tampa, FL 33610 | 2019-09-11 |
| 1902464381 | Ruth Hosen Milfort | Case Manager/Care Coordinator | 5707 N. 22nd Street, Tampa, FL 33610 | 2019-05-31 |
| 1265914626 | Universal Transportation Management Inc | Non-emergency Medical Transport (VAN) | 4108 N 22nd Street, Tampa, FL 33610 | 2018-09-02 |
| 1346759115 | Speedway Plus 2 Car Care Center LLCc | Residential Treatment Facility, Physical Disabilities | 8007 Glenoak Rd., Tampa, FL 33610 | 2017-09-25 |
| 1245757707 | Duy Dang | Behavioral Analyst | 4402 Claymore Dr Unit 203, Tampa, FL 33610 | 2017-08-25 |
| 1144745043 | Jonequa Baker | Home Health Aide | 709 North Castle Court, Tampa, FL 33610 | 2017-08-11 |
| 1619401338 | Dedicated Senior Medical Center East Tampa, LLC. | Non-Pharmacy Dispensing Site | 3128 East Hillsborough Avenue, Dedicated Senior Medical Center East Tampa, LLC., Tampa, FL 33610 | 2017-04-19 |
| 1669917423 | Olivia Anderson | Counselor | 10150 Highland Manor Dr Ste 200#108, Tampa, FL 33610 | 2017-01-03 |
| 1952779050 | Tampa Family Health Centers, Inc | Clinic/Center | 3100 E. Fletcher Avenue, Tampa, FL 33610 | 2015-09-04 |
| 1215303821 | Morissa Kidd | Technician, Other | 8062 Deerwood Circle, Tampa, FL 33610 | 2015-08-18 |
| Find all providers in zip 33610 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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.