Provider Demographics
NPI:1043924780
Name:ALL CARE SENIOR LIVING II, LLC
Entity Type:Organization
Organization Name:ALL CARE SENIOR LIVING II, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:RAMZI
Authorized Official - Last Name:CHABBAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-486-3817
Mailing Address - Street 1:3479 54TH AVE N
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33714-2426
Mailing Address - Country:US
Mailing Address - Phone:727-685-0490
Mailing Address - Fax:
Practice Address - Street 1:3479 54TH AVE N
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33714-2426
Practice Address - Country:US
Practice Address - Phone:727-685-0490
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-09
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility