Provider Demographics
NPI:1609012103
Name:RR AL CARE GROUP LIMITED PARTNERSHIP
Entity Type:Organization
Organization Name:RR AL CARE GROUP LIMITED PARTNERSHIP
Other - Org Name:HORIZON TRADITIONS AT RAIDER RANCH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JON
Authorized Official - Middle Name:
Authorized Official - Last Name:DELUCA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-287-3900
Mailing Address - Street 1:5426 BAY CENTER DR
Mailing Address - Street 2:SUITE 600
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33609-3444
Mailing Address - Country:US
Mailing Address - Phone:813-287-3900
Mailing Address - Fax:813-287-3988
Practice Address - Street 1:5426 BAY CENTER DR
Practice Address - Street 2:SUITE 600
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-3444
Practice Address - Country:US
Practice Address - Phone:813-287-3900
Practice Address - Fax:813-287-3988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-05
Last Update Date:2009-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)