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TAMPA, FL 33603
Phone: (813) 546-4884
County: Hillsborough

Mailing Address

TAMPA, FL 33603
County: Hillsborough

Emergency Actions:

Facility/Provider Type: Assisted Living Facility
Administrator: DEBRA WALLACE
Financial Officer: DEBRA WALLACE
Owner/Licensee Since: 12/12/2011
Profit Status: For-Profit
Management Company: DEBRA'S DIVINE CARE INC
Manager Since: 10/31/2011
Licensed Beds: 6
Bed Types:
Private : 5
Optional State Supplement : 1
Extended Congregate Care : 0
AHCA Number (File Number): 11968231
AHCA Field Office: 06
License Number: 12172
Current License Effective: 4/16/2018
Expires: 4/15/2020
License Status: LICENSED


Medicaid Services :  Assistive Care Services
Specialty License :  Limited Mental Health
Bed Hold Policy :  Facility will hold beds during a temporary absence
Occupancy/Occupancy Rate :  4 / 66.67 %
Continuing Care Retirement Community :  No
Adult Day Care Services :  Yes
Activities :  Arts and Crafts, Cooking Classes, Dancing, Exercise Classes, Games/Cards, Gardening, Music Programs, Shopping, Social Events/Outings, Theater and Movies, Yoga
Languages Spoken :  English
Nurse Availability :  None
Payment Forms Accepted :  Medicaid, VA
Community Residential Home
Please be advised that local zoning authorities may have additional restrictions or requirements not under the jurisdiction of the Agency for Health Care Administration. Contact your local zoning authorities for any specific requirements. See also 419.001 F.S.

Emergency Power Plan Summary:

Onsite Alternate Power Source :  Portable Generator
Emergency Power Supports :  Air Conditioning, Lights, Refrigeration
Plan Approval :  Jul 10, 2018
Implementation Date :  May 24, 2018
Cooling Method :  8000 BTU Haier Portable A/C, Spot Coolers
Areas Cooled :  Common Areas, Dining Room, Living room, Resident Rooms
Square Footage Cooled :  600
Number of People to use Cooled Space :  6

Consumer Guides:

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