Provider Demographics
NPI:1053751123
Name:CARING ANGELS FOR YOU ALF CORP
Entity type:Organization
Organization Name:CARING ANGELS FOR YOU ALF CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:LIUT
Authorized Official - Middle Name:IVON
Authorized Official - Last Name:DE LA ROSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-270-5227
Mailing Address - Street 1:8006 W POCAHONTAS AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33615-2912
Mailing Address - Country:US
Mailing Address - Phone:813-374-3176
Mailing Address - Fax:813-442-6033
Practice Address - Street 1:8006 W POCAHONTAS AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33615-2912
Practice Address - Country:US
Practice Address - Phone:813-374-3176
Practice Address - Fax:813-442-6033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-03
Last Update Date:2013-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL11637310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility