MEDICARE: MOUNTAIN HIGH ASSISTED LIVING FACILITY

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	AL12220	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	:	1801236054
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOUNTAIN HIGH ASSISTED LIVING FACILITY

Provider Business Mailing Address
First Line	:	3906 E CURTIS ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33610-6634
Country	:	US
Telephone Number	:	813-402-2116
Fax Number	:	813-442-4463

Provider Business Practice Location Address
First Line	:	3906 E CURTIS ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33610-6634
Country	:	US
Telephone Number	:	813-402-2116
Fax Number	:	813-442-4463

Authorized Official
Title or Position	:	OWNER/ADMINISTRATOR
Name	:	MRS. TONYA LASHAWN BELL
Credential	:
Telephone Number	:	813-764-1269

Provider Enumeration Date	:	07/02/2013
Last Update Date	:	07/02/2013

Similar Medicare Providers

1386093144 — MERCED CARE HOME LLC
Practice Location Address:

4616 N LINCOLN AVE
TAMPA, FL
33614-6634

Practice Phone: 813-516-4399
Practice Fax:

1194273318 — MELBA MERCED
Practice Location Address:

4616 N LINCOLN AVE
TAMPA, FL
33614-6634

Practice Phone: 403-516-4399
Practice Fax:

1750099750 — PREMISE HEALTH OF FLORIDA MEDICAL PA
Practice Location Address:

3800 CITI HEALTH SERVICES CENTER , TAMPA MEDICAL SERVICES BLDG C
TAMPA, FL
33610

Practice Phone: 813-604-4333
Practice Fax: 813-604-4337

1154554111 — POLARIS PHARMACY SERVICES OF TAMPA, LLC
Practice Location Address:

5908 HAMPTON OAKS PKWY STE N
TAMPA, FL
33610-9505

Practice Phone: 877-891-0005
Practice Fax: 877-891-0006

1679426423 — IBIS HEALTHCARE INC
Practice Location Address:

2214 E HENRY AVE
TAMPA, FL
33610-4433

Practice Phone: 813-368-4000
Practice Fax:

1124603493 — SARAH DIROFF
Practice Location Address:

5707 N 22ND ST
TAMPA, FL
33610-4350

Practice Phone: 813-272-2244
Practice Fax: 813-272-3766

Directions to “MOUNTAIN HIGH ASSISTED LIVING FACILITY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.