Healthcare Provider Details

I. General information

NPI: 1336892769
Provider Name (Legal Business Name): ADULT CARE HOUSING, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2022
Last Update Date: 03/13/2025
Certification Date: 03/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5030 78TH AVE N STE 8
PINELLAS PARK FL
33781-2406
US

IV. Provider business mailing address

5700 92ND AVE N
PINELLAS PARK FL
33782-5010
US

V. Phone/Fax

Practice location:
  • Phone: 727-418-6264
  • Fax: 727-205-3780
Mailing address:
  • Phone: 727-418-6264
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE TOLINI
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 727-418-6264