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4411 N HABANA AVE
TAMPA, FL 33614
Phone: (813) 872-2771
County: Hillsborough

Mailing Address

4411 N HABANA AVE
TAMPA, FL 33614
County: Hillsborough
Website: http://rehabilitationandhealthcareoftampa.com

Emergency Actions:

None
Facility/Provider Type: Nursing Home
Administrator: JACKIE AFTANAS ASHE
Financial Officer: JACKIE AFTANAS ASHE
Owner/Licensee: FI TAMPA LLC
Owner/Licensee Since: 7/1/2003
NamePositionOwnership
FLORIDA INSTITUTE FOR LONG TERM CARE LLC 100%
Profit Status: Not-For-Profit
Licensed Beds: 174
Bed Types:
Community Beds : 174
Sheltered Beds : 0
Pediatric Beds : 0
Private Rooms : 18
2-Bed Rooms : 78
3-Bed Rooms : 0
4-Bed Rooms : 0
AHCA Number (File Number): 62908
AHCA Field Office: 06
License Number: 12340961
Current License Effective: 7/1/2017
Expires: 6/30/2019
License Status: LICENSED

Compare Quality and/or Pricing:

Services/Characteristics:

Current Daily Rate ($) of Semi-Private Room :  $222.00
Occupancy/Occupancy Rate :  166 / 95.24%
Continuing Care Retirement Community :  No
Adult Day Care Services :  No
Languages Spoken :  Creole, Spanish
Payment Forms Accepted :  Insurance and/or HMO, Medicaid, Medicare
Special Programs and Services :  HIV Care, Respite, Tracheotomy

Emergency Power Plan Summary:

Plan Approval :  Nov 01, 2017
Implementation Date :  Jun 06, 2018
Implementation Extended Until :  Jan 01, 2019

Legal Actions

Date InitiatedCase #Case TypeViolationFine AmountDate Imposed
01/24/2019 2019001044 Conditional LicenseSurvey N/A 11/08/2017
01/24/2019 2019001044 FineSurvey $1,000.00 03/08/2019
10/16/2017 2017012288 Rule Variance/WaiverAdministrative Rule N/A 11/13/2017
09/02/2014 2014008718 Conditional LicenseSurvey N/A 10/20/2014
09/02/2014 2014008718 FineSurvey $2,500.00 10/20/2014
07/29/2004 2004006999 FineReporting $500.00 11/19/2004
Please note the legal actions above may have been issued to a prior owner. The Final Order displays the name of the licensee responsible for the legal action that was taken.

Consumer Guides:



Attn Providers: Requests for changes in data must be sent in writing to the AHCA licensing office.
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