Ibis Healthcare INC
Substance Abuse Rehabilitation Facility in Tampa, FL. Organization (NPI-2).
NPI number1083558100
StatusActive
Last updated in NPPESApr 17, 2026
Details
- NPI
- 1083558100
- Entity type
- Organization (NPI-2)
- Legal business name
- Ibis Healthcare INC
- Organization subpart
- Yes
- Enumeration date
- Apr 17, 2026
- Certification date
- Apr 17, 2026
- Last updated
- Apr 17, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | – | – | Yes |
Practice location
3630 N 50th StTampa, FL 33619-1530
Phone 813-368-4000
Mailing address
5707 N 22nd StTampa, FL 33610-4350
Phone 813-239-8176
Authorized official
Roaya Tyson
Ceo
8132398088
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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