Provider Demographics
NPI:1841614260
Name:TORIA'S SUPPORT CARE SERVICES, INC.
Entity Type:Organization
Organization Name:TORIA'S SUPPORT CARE SERVICES, INC.
Other - Org Name:TORIAS'S ASSISTED LIVING FACILITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-361-9328
Mailing Address - Street 1:3702 E OSBORNE AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33610-6650
Mailing Address - Country:US
Mailing Address - Phone:813-280-2492
Mailing Address - Fax:
Practice Address - Street 1:3702 E OSBORNE AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33610-6650
Practice Address - Country:US
Practice Address - Phone:813-280-2492
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-05
Last Update Date:2014-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL11326310400000X
FLAL11393310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL688145996Medicaid