TUCAWILLA VILLA, LLC
NPI 1225499817
Custodial Care Facility - Adult Care Home in Winter Springs, FL

Active since March 10, 2016
995 TUSCAWILLA ROAD, WINTER SPRINGS, FL 32708(407) 637-0273 Get Directions Write a Review

NPPES record last updated: March 10, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Custodial Care Facility
  • Adult Care Home

About TUCAWILLA VILLA, LLC

This page provides the complete NPI Profile along with additional information for Tucawilla Villa, Llc, a provider established in Winter Springs, Florida operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1225499817 assigned on March 2016. The practitioner's primary taxonomy code is 311ZA0620X with license number 6906719 (FL). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Jamie M Harry Rn/rd (Owner/administrator)

NPI
1225499817 Verify this NPI
Provider Name
TUCAWILLA VILLA, LLC
Entity Type
Organization
Location Address
995 TUSCAWILLA ROAD WINTER SPRINGS, FL 32708
Location Phone
(407) 637-0273
Mailing Address
995 TUSCAWILLA ROAD WINTER SPRINGS, FL 32708
Mailing Phone
(407) 637-0273
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-10-2016
Last Update Date
03-10-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Custodial Care Facility Adult Care Home

Taxonomy Code
311ZA0620X
Type
Nursing & Custodial Care Facilities
License No.
6906719
License State
FL
Taxonomy Description
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JAMIE M HARRY RN/RD

Authorized Official Title
OWNER/ADMINISTRATOR
Authorized Official Phone
(407) 637-0273

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
6906719OTHER (01)FLAHCA LICENSE FOR ADULT FAMILY CARE HOME-
213000110783OTHER (01)FLBUSINESS TAX RECEIPT- FLORIDA DIVISION OF CORPORATION

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225499817, enumerated as an "organization" on March 10, 2016.

The provider is located at 995 TUSCAWILLA ROAD WINTER SPRINGS, FL 32708 and the phone number is (407) 637-0273.

Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.