PROMISE POINTE AT TAMPA OAKS
NPI 1235620410
Assisted Living Facility in Temple Terrace, FL

NPI Status: Active since May 23, 2018

Contact Information

12110 MORRIS BRIDGE RD
TEMPLE TERRACE, FL
ZIP 33637
Phone: (813) 694-2153

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 10D2210820
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 01-24-2027

About PROMISE POINTE AT TAMPA OAKS

This page provides the complete NPI Profile along with additional information for Promise Pointe At Tampa Oaks, a provider established in Temple Terrace, Florida operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1235620410 assigned on May 2018. The practitioner's primary taxonomy code is 310400000X with license number 13142 (FL). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Promise Pointe At Tampa Oaks. The authorized official of this NPI record is Laura Holliday (Cfo)

NPI
1235620410
Provider Legal Name
TAMPA OAKS SENIOR LIVING
Other Organization Name
PROMISE POINTE AT TAMPA OAKS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
12110 MORRIS BRIDGE RD TEMPLE TERRACE, FL 33637
Location Phone
(813) 694-2153
Mailing Address
12110 MORRIS BRIDGE RD TEMPLE TERRACE, FL 33637
Mailing Phone
(813) 694-2153
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-23-2018
Last Update Date
04-16-2019
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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

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
13142
License State
FL
Taxonomy Description
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.

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

LAURA HOLLIDAY

Authorized Official Title
CFO
Authorized Official Phone
(813) 694-2153

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D2210820
Facility Type
Assisted Living Facility
Certificate Effective Date
January 25, 2025
Certificate Expiration Date
January 24, 2027
Laboratory Director
LAURA K. HOLLIDAY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Promise Pointe At Tampa Oaks to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1235620410
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2265122042
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 1 + 2 + 2 + 0 + 4 + 2 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1235620410 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1295237691 ANGEL ANDUJAR OTR/L
Individual
Occupational Therapist12110 MORRIS BRIDGE RD
TEMPLE TERRACE, FL 33637
(888) 974-7878
1407442916 CARRIE ANN MANNS OTR/L
Individual
Occupational Therapist12110 MORRIS BRIDGE RD
TEMPLE TERRACE, FL 33637
(813) 431-4011
1730707035 HANNAH FINLEY
Individual
Occupational Therapist12110 MORRIS BRIDGE RD
TEMPLE TERRACE, FL 33637
(775) 367-6937
1801520853 ROBERTA CAROLINA BARBIERI CIRIACO
Individual
Physical Therapist12110 MORRIS BRIDGE RD
TEMPLE TERRACE, FL 33637
(813) 892-3807
1720880438CONCORDIS ALF TAMPA LLC
Organization
Assisted Living Facility12110 MORRIS BRIDGE RD
TEMPLE TERRACE, FL 33637
(813) 694-2153

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235620410, enumerated in the NPI registry as an "organization" on May 23, 2018

The provider is located at 12110 Morris Bridge Rd Temple Terrace, Fl 33637 and the phone number is (813) 694-2153

This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X

The provider's CLIA number is 10D2210820 for a "assisted living facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on May 23, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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