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TARA DEMETRIA JOHNSON
NPI 1851883706
Assisted Living Facility in Palm Bay, FL

Active since June 05, 2018
226 ABALONE RD NW, PALM BAY, FL 32907(321) 480-4052 Get Directions Write a Review

NPPES record last updated: June 5, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tara Demetria Johnson NPPES

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

TARA DEMETRIA JOHNSON (NPI 1851883706) is an individual assisted living facility provider in Palm Bay, Florida, licensed in Florida (ALF13181) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1851883706
Entity TypeIndividualFemale
Primary Taxonomy310400000X
Provider Legal NameTARA DEMETRIA JOHNSON
Location Address226 ABALONE RD NWPalm Bay, FL 32907-2964
Mailing Address304 Hanford Rd SwPalm Bay, FL 32908-1200 · (321) 480-4052
Phone(321) 480-4052
Sole ProprietorYes
Enumeration DateJune 5, 2018
✔ NPI 1851883706 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 · ALF13181
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.
226 ABALONE RD NW, Palm Bay, FL 32907
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Other Identifiers 1

MedicaidFLFL

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROME'S PARADISE ASSISTED LIVING LLC
Assisted Living Facility
226 ABALONE RD NW
PALM BAY, FL 32907
Brevard County (321) 473-8083

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 Tara Johnson's NPI number?

The NPI number for Tara Johnson is 1851883706. It was assigned to this individual provider in the NPPES registry on June 5, 2018.

Where is Tara Johnson located?

Tara Johnson practices at 226 Abalone Rd NW, Palm Bay, FL 32907. The listed phone number is (321) 480-4052.

What is Tara Johnson'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 Tara Johnson was last updated on June 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.