Healthcare Provider Details

I. General information

NPI: 1255742672
Provider Name (Legal Business Name): MARANATHA HOME HEALTH, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2014
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

134 N MOON AVE
BRANDON FL
33510-4420
US

IV. Provider business mailing address

134 N MOON AVE
BRANDON FL
33510-4420
US

V. Phone/Fax

Practice location:
  • Phone: 813-482-9807
  • Fax: 813-445-4305
Mailing address:
  • Phone: 813-482-9807
  • Fax: 813-445-4305

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. MARIA D SANCHEZ
Title or Position: OWNER
Credential:
Phone: 813-482-9807