MEDICARE: ELEMENTS OF INTERVENTION, 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1518524859
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELEMENTS OF INTERVENTION, LLC

Provider Business Mailing Address
First Line	:	2109 E BIRD ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33604-3518
Country	:	US
Telephone Number	:	813-735-5356
Fax Number	:	813-315-6813

Provider Business Practice Location Address
First Line	:	2109 E BIRD ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33604-3518
Country	:	US
Telephone Number	:	813-735-5356
Fax Number	:	813-315-6813

Authorized Official
Title or Position	:	OWNER
Name	:	NATASHA BROWN
Credential	:
Telephone Number	:	813-735-5356

Provider Enumeration Date	:	05/22/2019
Last Update Date	:	01/09/2026

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