Immanuel At Ybor Assisted Living Facility

LBN: Yetey Enterprises Inc
Immanuel At Ybor Assisted Living Facility is an health care organization with primary practice located at 3213 E 11Th Ave , Tampa FL 33605. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living, Mental Illness, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Yetey Enterprises Inc can be contacted via phone (813) 247-5852, or through Adegbola, Abiodun via phone (813) 247-5852.

Contact Information

Primary practice address
3213 E 11Th Ave Tampa FL 33605
Fax:
Website:
Authorized official contact:
Name: Adegbola, Abiodun

Health care specialties

Profile Details

NPI number 1063836781
LBN Legal business name Yetey Enterprises Inc
DBA Doing business as Immanuel At Ybor Assisted Living Facility
Authorized official Adegbola, Abiodun
Entity Organization
Organization subpart 1 No
Enumeration date Feb 17th, 2014
Last updated Apr 17th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063836781 NPPES
Florida MEDICAID 005550800

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