MEDICARE: FEELS LIKE HOME IN TAMPA ALF

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility	AL13187	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770077851
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FEELS LIKE HOME IN TAMPA ALF

Provider Business Mailing Address
First Line	:	6018 MEMORIAL HWY
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-4532
Country	:	US
Telephone Number	:	813-252-8418
Fax Number	:	813-252-8418

Provider Business Practice Location Address
First Line	:	6018 MEMORIAL HWY
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-4532
Country	:	US
Telephone Number	:	813-252-8418
Fax Number	:	813-252-8418

Authorized Official
Title or Position	:	OWNER
Name	:	MR. ELIECER RODRIGUEZ-MORENO
Credential	:
Telephone Number	:	813-252-8418

Provider Enumeration Date	:	06/21/2018
Last Update Date	:	06/21/2018

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