Provider Demographics
NPI:1265870166
Name:CARICIAS ASSISTED LIVING INC
Entity type:Organization
Organization Name:CARICIAS ASSISTED LIVING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ESTRELLA
Authorized Official - Middle Name:A
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:813-380-3370
Mailing Address - Street 1:8016 DELL DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33615-4621
Mailing Address - Country:US
Mailing Address - Phone:813-380-3370
Mailing Address - Fax:813-412-8984
Practice Address - Street 1:8016 DELL DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33615-4621
Practice Address - Country:US
Practice Address - Phone:813-380-3370
Practice Address - Fax:813-412-8984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-13
Last Update Date:2013-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility