The Abuelo'S Quiet Village Alf
Assisted Living Facility in Tampa, FL. Organization (NPI-2).
NPI number1669903704
StatusActive
Last updated in NPPESMar 21, 2017
Details
- NPI
- 1669903704
- Entity type
- Organization (NPI-2)
- Legal business name
- The Abuelo'S Quiet Village Alf
- Organization subpart
- No
- Enumeration date
- Mar 21, 2017
- Last updated
- Mar 21, 2017
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 |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | 12938 | FL | Yes |
Practice location
2307 W Saint Joseph StTampa, FL 33607-1651
Phone 813-468-4890
Mailing address
2307 W Saint Joseph StTampa, FL 33607-1651
Phone 813-468-4890
Authorized official
Pedro A Velazquez
Owner
8134684890
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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