Provider Demographics
NPI:1003160201
Name:HERITAGE VIEW ALF INC.
Entity Type:Organization
Organization Name:HERITAGE VIEW ALF INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LOUIE
Authorized Official - Middle Name:G
Authorized Official - Last Name:MACALINAO
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:813-352-3569
Mailing Address - Street 1:10759 CORY LAKE DRIVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647
Mailing Address - Country:US
Mailing Address - Phone:813-352-3569
Mailing Address - Fax:813-237-2756
Practice Address - Street 1:104 N. GORDON STREET
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33563
Practice Address - Country:US
Practice Address - Phone:813-752-5106
Practice Address - Fax:813-237-2756
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-09
Last Update Date:2015-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9180310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility