CLAUDETTE JOHNSON
NPI 1891170460
Custodial Care Facility - Adult Care Home in Tampa, FL

Active since July 24, 2015
4617 HIDDEN SHADDOW DT, TAMPA, FL 33614(813) 513-4616 Get Directions Write a Review

NPPES record last updated: July 24, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Claudette Johnson NPPES

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

CLAUDETTE JOHNSON (NPI 1891170460) is a healthcare organization registered as an adult care home in Tampa, Florida and active in the NPI registry since July 2015. The organization lists Claudette Johnson, Provider, as its authorized official.

NPPES Registry Identity

NPI1891170460
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameCLAUDETTE JOHNSON
Location Address4617 HIDDEN SHADDOW DTTampa, FL 33614
Mailing Address4617 Hidden Shadow DrTampa, FL 33614-1476 · (813) 513-4616
Organization SubpartNo
Authorized OfficialClaudette JohnsonProvider · (813) 513-4616
Enumeration DateJuly 24, 2015
NPI 1891170460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License Licensed in FL · 311ZA0620X
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.
4617 HIDDEN SHADDOW DT, Tampa, FL 33614

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 Claudette Johnson's NPI number?

The NPI number for Claudette Johnson is 1891170460. It was assigned to this organization in the NPPES registry on July 24, 2015.

Where is Claudette Johnson located?

Claudette Johnson is located at 4617 Hidden Shaddow Dt, Tampa, FL 33614. The listed phone number is (813) 513-4616.

What is Claudette Johnson'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 Claudette Johnson was last updated on July 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.