Provider Demographics
NPI:1295385268
Name:AGUILA ENTERPRISES INC
Entity Type:Organization
Organization Name:AGUILA ENTERPRISES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANUPAMA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAPALAMADUGU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-765-9137
Mailing Address - Street 1:503 N. MATANZAS AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33609-1538
Mailing Address - Country:US
Mailing Address - Phone:813-872-8000
Mailing Address - Fax:813-801-9806
Practice Address - Street 1:4009 N. HABANA AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6730
Practice Address - Country:US
Practice Address - Phone:813-872-8000
Practice Address - Fax:813-801-9806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-12
Last Update Date:2019-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility