Provider Demographics
NPI:1356640148
Name:BABAS & ARAGON ESTATE, INC.
Entity Type:Organization
Organization Name:BABAS & ARAGON ESTATE, INC.
Other - Org Name:OAKLAND MANOR ALF
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ROGIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:BABAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-225-1347
Mailing Address - Street 1:2812 N NEBRASKA AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33602-1728
Mailing Address - Country:US
Mailing Address - Phone:813-225-1347
Mailing Address - Fax:813-225-3411
Practice Address - Street 1:2812 N NEBRASKA AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33602-1728
Practice Address - Country:US
Practice Address - Phone:813-225-1347
Practice Address - Fax:813-225-3411
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-20
Last Update Date:2011-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL4992310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL142544700Medicaid