DBA YUDITH'S ASSISTED LIVING FACILITY II
NPI 1043638950
Assisted Living Facility in Tampa, FL

Active since March 29, 2014
4415 W JEAN ST, TAMPA, FL 33614(813) 453-2480 Get Directions Write a Review

NPPES record last updated: March 29, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dba Yudith's Assisted Living Facility Ii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DBA YUDITH'S ASSISTED LIVING FACILITY II (NPI 1043638950) is a healthcare organization registered as an assisted living facility in Tampa, Florida and active in the NPI registry since March 2014. The organization lists Ruben Dominguez, Administrator, as its authorized official.

NPPES Registry Identity

NPI1043638950
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameJUDITH'S ASSISTED LIVING FACILITY, INC
Location Address4415 W JEAN STTampa, FL 33614-3608
Mailing Address4415 W Jean StTampa, FL 33614-3608 · (813) 453-2480
Organization SubpartNo
Authorized OfficialRuben DominguezAdministrator · (813) 453-2480
Enumeration DateMarch 29, 2014
NPI 1043638950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in FL · 10958
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

4415 W JEAN ST, Tampa, FL 33614

Other Names 1

Doing Business AsDba Yudith's Assisted Living Facility Ii

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Judith's Assisted Living Facility, Inc's NPI number?

The NPI number for Judith's Assisted Living Facility, Inc is 1043638950. It was assigned to this organization in the NPPES registry on March 29, 2014. The provider is doing business as Dba Yudith's Assisted Living Facility II.

Where is Judith's Assisted Living Facility, Inc located?

Judith's Assisted Living Facility, Inc is located at 4415 W Jean St, Tampa, FL 33614. The listed phone number is (813) 453-2480.

What is Judith's Assisted Living Facility, Inc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Judith's Assisted Living Facility, Inc was last updated on March 29, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.