MEDICARE: ASSOCIATION HOME CARE INC

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
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1972382810
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASSOCIATION HOME CARE INC

Provider Business Mailing Address
First Line	:	15101 SOUTHFORK DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33624-2300
Country	:	US
Telephone Number	:	813-919-5555
Fax Number	:

Provider Business Practice Location Address
First Line	:	3632 LAND O LAKES BLVD STE 105
Second Line	:
City	:	LAND O LAKES
State	:	FL
Zip	:	34639-4407
Country	:	US
Telephone Number	:	813-919-5555
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	AMIT SHUKLA
Credential	:
Telephone Number	:	240-778-9902

Provider Enumeration Date	:	09/28/2023
Last Update Date	:	10/25/2024

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