Provider Demographics
NPI:1689090953
Name:A CARING ALF
Entity type:Organization
Organization Name:A CARING ALF
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NORISA
Authorized Official - Middle Name:
Authorized Official - Last Name:GOMEZ CRUZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-735-0137
Mailing Address - Street 1:6005 N CAMERON AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-5509
Mailing Address - Country:US
Mailing Address - Phone:813-735-0137
Mailing Address - Fax:
Practice Address - Street 1:6005 N CAMERON AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-5509
Practice Address - Country:US
Practice Address - Phone:813-735-0137
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-11
Last Update Date:2014-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11598310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility