MEDICARE: IGNITE HOME HEALTH -REGION 6 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

General Provider Information

NPI Number	:	1760296586
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IGNITE HOME HEALTH -REGION 6 LLC

Provider Business Mailing Address
First Line	:	4030 HENDERSON BLVD STE 541
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33629-4940
Country	:	US
Telephone Number	:	727-409-5550
Fax Number	:

Provider Business Practice Location Address
First Line	:	4830 W KENNEDY BLVD STE 880
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-2528
Country	:	US
Telephone Number	:	800-298-5479
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	PAUL T HAUSMAN
Credential	:
Telephone Number	:	727-409-5550

Provider Enumeration Date	:	02/03/2025
Last Update Date	:	02/03/2025

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Directions to “IGNITE HOME HEALTH -REGION 6 LLC ” Practice Location

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