Provider Demographics
NPI:1609486844
Name:ACLARIS CARE HOME, INC.
Entity Type:Organization
Organization Name:ACLARIS CARE HOME, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CLARISVEL
Authorized Official - Middle Name:ACOSTA
Authorized Official - Last Name:ALBIZU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-516-9863
Mailing Address - Street 1:7711 N ROME AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33604-4615
Mailing Address - Country:US
Mailing Address - Phone:813-516-9863
Mailing Address - Fax:813-217-9671
Practice Address - Street 1:7711 N ROME AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33604-4615
Practice Address - Country:US
Practice Address - Phone:813-516-9863
Practice Address - Fax:813-217-9671
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-03
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities