MEDICARE: HOME HEALTH AGENCY - HILLSBOROUGH, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	299991878	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063406817
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME HEALTH AGENCY - HILLSBOROUGH, LLC

Provider Business Mailing Address
First Line	:	510 HOSPITAL DR
Second Line	:	SUITE 150
City	:	MADISON
State	:	TN
Zip	:	37115-5033
Country	:	US
Telephone Number	:	615-627-9267
Fax Number	:	615-577-0081

Provider Business Practice Location Address
First Line	:	3601 MADACA LN
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33618-2048
Country	:	US
Telephone Number	:	813-289-1025
Fax Number	:	813-289-1091

Authorized Official
Title or Position	:	DIRECTOR OF LICENSING/ACCREDITATION
Name	:	AMANDA MCFADDIN
Credential	:
Telephone Number	:	615-712-2250

Provider Enumeration Date	:	09/08/2005
Last Update Date	:	06/08/2012

Similar Medicare Providers

1760457477 — DAVID J NAAR MD
Practice Location Address:

3657 MADACA LN
TAMPA, FL
33618-2048

Practice Phone: 800-991-6117
Practice Fax:

1023003746 — CARLOS CESAR MARINELLI MD
Practice Location Address:

3665 MADACA LN
TAMPA, FL
33618-2048

Practice Phone: 813-280-7380
Practice Fax: 813-355-5899

1184610453 — DR. WILLIAM KIANG DO
Practice Location Address:

3657 MADACA LN
TAMPA, FL
33618-2048

Practice Phone: 800-991-6117
Practice Fax: 888-812-8191

1871554774 — JOSE CARLOS DOMINGUEZ JR. MD
Practice Location Address:

3645 MADACA LN
TAMPA, FL
33618-2048

Practice Phone: 813-969-0116
Practice Fax: 813-969-3794

1447211156 — DR. BRUCE ALLEN KAHAN MD
Practice Location Address:

3661 MADACA LN
TAMPA, FL
33618-2048

Practice Phone: 813-968-7830
Practice Fax: 813-265-9697

1497717623 — INTERNAL MEDICINE ASSOCIATES OF NORTH TAMPA PA
Practice Location Address:

3661 MADACA LN
TAMPA, FL
33618-2048

Practice Phone: 813-968-7830
Practice Fax: 813-265-9697

Directions to “HOME HEALTH AGENCY - HILLSBOROUGH, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.