Provider Demographics
NPI:1144797820
Name:HCP TAMPA FL OPCO, LLC
Entity Type:Organization
Organization Name:HCP TAMPA FL OPCO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TABBY
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-908-2333
Mailing Address - Street 1:16702 N DALE MABRY HWY
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33618-1055
Mailing Address - Country:US
Mailing Address - Phone:813-908-2333
Mailing Address - Fax:813-908-2244
Practice Address - Street 1:16702 N DALE MABRY HWY
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618-1055
Practice Address - Country:US
Practice Address - Phone:813-908-2333
Practice Address - Fax:813-908-2244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-31
Last Update Date:2018-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility