Individual provider · Type 1 NPI

Tamara Darlene Johnson

Adult Care Home Facility · Kissimmee, FL

NPI number 1164338380 Active

Practice location

112 Mediterranean Ct
Kissimmee, FL 34758-3902

Call (407) 201-5446 Map

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620XNone listed

Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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About NPI 1164338380

Tamara Darlene Johnson's National Provider Identifier is 1164338380, issued on Aug 19, 2026. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Kissimmee, FL. The record was last updated on Aug 19, 2026.