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REBECCA ASSISTED LIVING FACILITY
NPI 1104596485
Assisted Living Facility in Brandon, FL

Active since September 17, 2021
2015 DERBYWOOD DR, BRANDON, FL 33510(813) 629-3428(813) 438-8555 Get Directions Write a Review

NPPES record last updated: September 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rebecca Assisted Living Facility NPPES

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

REBECCA ASSISTED LIVING FACILITY (NPI 1104596485) is a healthcare organization registered as an assisted living facility in Brandon, Florida and active in the NPI registry since September 2021. The organization lists Macaulay O Igbinosun, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104596485
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameREBECCA ASSISTED LIVING FACILITY
Location Address2015 DERBYWOOD DRBrandon, FL 33510-2213
Mailing Address2015 Derbywood DrBrandon, FL 33510-2213 · (813) 629-3428 · Fax (813) 438-8555
Phone(813) 629-3428
Fax(813) 438-8555
Organization SubpartNo
Authorized OfficialMacaulay O IgbinosunCeo · (813) 629-3428
Enumeration DateSeptember 17, 2021
NPPES CertifiedSeptember 17, 2021
✔ NPI 1104596485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.
2015 DERBYWOOD DR, Brandon, FL 33510
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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 Rebecca Assisted Living Facility's NPI number?

The NPI number for Rebecca Assisted Living Facility is 1104596485. It was assigned to this organization in the NPPES registry on September 17, 2021.

Where is Rebecca Assisted Living Facility located?

Rebecca Assisted Living Facility is located at 2015 Derbywood Dr, Brandon, FL 33510. The listed phone number is (813) 629-3428.

What is Rebecca Assisted Living Facility'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 Rebecca Assisted Living Facility was last updated on September 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.