THE IDA HOUSE ASSISTED LIVING LLC
NPI 1083125132
Assisted Living Facility in Tampa, FL

Active since October 17, 2017
6014 ROSEWOOD DR, TAMPA, FL 33615(813) 562-6135 Get Directions Write a Review

NPPES record last updated: March 6, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 6, 2019, May 15, 2018, Oct 17, 2017 (3 updates tracked since 2017).

About The Ida House Assisted Living Llc NPPES

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

THE IDA HOUSE ASSISTED LIVING LLC (NPI 1083125132) is a healthcare organization registered as an assisted living facility in Tampa, Florida and active in the NPI registry since October 2017. The organization lists Kirenia Bacallao Ruiz, President, as its authorized official.

NPPES Registry Identity

NPI1083125132
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameTHE IDA HOUSE ASSISTED LIVING LLC
Location Address6014 ROSEWOOD DRTampa, FL 33615
Mailing Address6014 Rosewood DrTampa, FL 33615-3428
Organization SubpartNo
Authorized OfficialKirenia Bacallao RuizPresident · (813) 562-6135
Enumeration DateOctober 17, 2017
Last NPPES UpdateMarch 6, 20193 updates tracked since enumeration
NPI 1083125132 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 · 13170
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.
6014 ROSEWOOD DR, Tampa, FL 33615

Other Identifiers 1

Medicaid024909900FL

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 The Ida House Assisted Living LLC's NPI number?

The NPI number for The Ida House Assisted Living LLC is 1083125132. It was assigned to this organization in the NPPES registry on October 17, 2017.

Where is The Ida House Assisted Living LLC located?

The Ida House Assisted Living LLC is located at 6014 Rosewood Dr, Tampa, FL 33615. The listed phone number is (813) 562-6135.

What is The Ida House Assisted Living LLC'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 The Ida House Assisted Living LLC was last updated on March 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.