Provider Demographics
NPI:1770711954
Name:CASA LORETO ASSISTED LIVING FACILITY
Entity type:Organization
Organization Name:CASA LORETO ASSISTED LIVING FACILITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:
Authorized Official - Last Name:TORANZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-504-1835
Mailing Address - Street 1:3212 W KATHLEEN ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-1853
Mailing Address - Country:US
Mailing Address - Phone:813-504-1835
Mailing Address - Fax:813-870-0684
Practice Address - Street 1:3212 W KATHLEEN ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-1853
Practice Address - Country:US
Practice Address - Phone:813-504-1835
Practice Address - Fax:813-870-0684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-26
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL11519310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility