PAULETTE'S ADULT FAMILY HOME
NPI 1609000827
Custodial Care Facility - Adult Care Home in Thonotosassa, FL

Active since May 04, 2009
10122 TIMMONS RD, THONOTOSASSA, FL 33592(813) 986-1011(813) 982-2039 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Jun 20, 2018 (2 updates tracked since 2018).

  • Organization
  • Custodial Care Facility
  • Adult Care Home

About PAULETTE'S ADULT FAMILY HOME

This page provides the complete NPI Profile along with additional information for Paulette's Adult Family Home, a provider established in Thonotosassa, Florida operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1609000827 assigned on May 2009. The practitioner's primary taxonomy code is 311ZA0620X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Mrs. Paulette C Walker-slater (Provider/cna)

NPI
1609000827 Verify this NPI
Provider Name
PAULETTE'S ADULT FAMILY HOME
Entity Type
Organization
Location Address
10122 TIMMONS RD THONOTOSASSA, FL 33592
Location Phone
(813) 986-1011
Location Fax
(813) 982-2039
Mailing Address
10122 TIMMONS RD THONOTOSASSA, FL 33592
Mailing Phone
(813) 986-1011
Mailing Fax
(813) 982-2039
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-04-2009
Last Update Date
07-21-2022
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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 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

MRS. PAULETTE C WALKER-SLATER

Authorized Official Title
PROVIDER/CNA
Authorized Official Phone
(813) 986-1011

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
000015100MEDICAID (05)FL 

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Custodial Care Facility (Adult Care Home)
10122 TIMMONS RD
THONOTOSASSA, FL 33592

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609000827, enumerated as an "organization" on May 04, 2009.

The provider is located at 10122 TIMMONS RD THONOTOSASSA, FL 33592 and the phone number is (813) 986-1011.

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.