Provider Demographics
NPI:1235438409
Name:FEEL AT HOME INC.
Entity Type:Organization
Organization Name:FEEL AT HOME INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNABELLE
Authorized Official - Middle Name:BACANTO
Authorized Official - Last Name:CANLAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-933-9845
Mailing Address - Street 1:129 W 131ST AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33612-3443
Mailing Address - Country:US
Mailing Address - Phone:813-933-9845
Mailing Address - Fax:813-395-0775
Practice Address - Street 1:129 W 131ST AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-3443
Practice Address - Country:US
Practice Address - Phone:813-933-9845
Practice Address - Fax:813-395-0775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-26
Last Update Date:2011-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL4653310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL140324900Medicaid