NUEVA VIDA ALF II INC (NPI# 1932520004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932520004 |
Entity Type | Organization |
Organization Name | NUEVA VIDA ALF II INC |
Practice Address |
2827 Max Smith Rd Lutz FL 33559 |
Practice Telephone | 8137662376 |
Practice Fax Number | 8133889782 |
Mailing Telephone | 8137662376 |
Mailing Fax Number | 8133889782 |
Enumeration Date | 2013-12-17 |
Last Update Date | 2013-12-17 |
Authorized Official Name | RAYZA CAMMAN (ADMINISTRATOR) |
Authorized Official Telephone | 8137662376 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 385H00000X | Respite Care | AL12442 | FL | Respite Care Facility |
Street Address |
2827 MAX SMITH RD |
City | LUTZ |
State | FL |
Zip Code | 33559 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285286930 | Mark Cutler Behm | Dentist | 25464 Grand Cypress Dr, Lutz, FL 33559 | 2019-07-12 |
1659837656 | B&b Florida Eye Care Pllc | Optometrist | 25434 Sierra Center Boulevard, Lutz, FL 33559 | 2019-02-14 |
1457821076 | Roxanne Juliet Beaton | Counselor | 23540 State Rd. 54, Lutz, FL 33559 | 2018-11-26 |
1073097275 | Ivelisse Lopez Garcia | Social Worker | 4840 Tampa Downs Blvd Lutz, Tampa, FL 33559 | 2018-09-24 |
1134601735 | Brandon Baker | Specialist/Technologist | 15111 Buckhorn Court, Lutz, FL 33559 | 2018-08-30 |
1003314162 | Alpha and Omega Resource Center | Day Training, Developmentally Disabled Services | 15115 19th Street, Lutz, FL 33559 | 2018-01-24 |
1609391432 | Kristi Faye Steuber | Behavior Technician | 24021 Timberset Court, Lutz, FL 33559 | 2017-08-14 |
1245786185 | Costco Wholesale Corporation | Hearing Aid Equipment | 2225 Grand Cypress Drive, Lutz, FL 33559 | 2016-08-31 |
1245620632 | Tamara Ibrahim | Pharmacist | 14905 Deer Meadow Drive, Lutz, FL 33559 | 2015-01-23 |
1447542931 | Marla Jane Marks | Speech-Language Pathologist | 3228 Cordoba Ranch Blvd., Lutz, FL 33559 | 2011-05-03 |
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Taxonomy Code | 385H00000X |
Grouping | Respite Care Facility |
Classification | Respite Care |
Definition to come. |
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1710449236 | Misty Terrell Brown Richardson | Respite Care | 2786 Trilby Ave, North Port, FL 34286-4985 | 2019-04-03 |
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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.