KATHERINE TILLMAN
NPI 1689030330
Custodial Care Facility - Adult Care Home in Tampa, FL

Q: What is Katherine Tillman's NPI number?

The NPI number for Katherine Tillman is 1689030330. It was assigned to this individual provider in the NPPES registry on January 11, 2016.

Q: What is Katherine Tillman's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Q: When was this NPI record last updated?

The NPPES record for Katherine Tillman was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.

Active since January 11, 2016

8119 N MULBERRY ST, TAMPA, FL 33604(813) 410-6159 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Katherine Tillman NPPES

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

KATHERINE TILLMAN (NPI 1689030330) is an individual adult care home provider in Tampa, Florida, licensed in Florida (6906834) and active in the NPI registry since January 2016. She maintains a secondary practice location in Tampa.

NPPES Registry Identity

NPI1689030330

Entity TypeIndividualFemale

Primary Taxonomy311ZA0620X

Provider Legal NameKATHERINE TILLMAN

Location Address8119 N MULBERRY STTampa, FL 33604-3443

Mailing Address8119 N Mulberry StTampa, FL 33604-3443 · (813) 410-6159

Phone(813) 410-6159

Sole ProprietorYes

Enumeration DateJanuary 11, 2016

Last NPPES UpdateJanuary 27, 2025

NPPES CertifiedJanuary 27, 2025

✔ NPI 1689030330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

License✔ Licensed in FL · 6906834

Definition

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.

Also ListedProsthetic/Orthotic SupplierTaxonomy 335E00000X · License CL1189677 (FL)

8119 N MULBERRY ST, Tampa, FL 33604

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Secondary Practice Location 1

Location 112811 N Nebraska Ave Ste ETampa, FL 33612-4401 · Phone (813) 410-6159

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 Katherine Tillman's NPI number?

The NPI number for Katherine Tillman is 1689030330. It was assigned to this individual provider in the NPPES registry on January 11, 2016.

Where is Katherine Tillman located?

Katherine Tillman practices at 8119 N Mulberry St, Tampa, FL 33604. The listed phone number is (813) 410-6159.

What is Katherine Tillman's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Katherine Tillman was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.