Healthcare Provider Details

I. General information

NPI: 1306322615
Provider Name (Legal Business Name): RED HAT SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2018
Last Update Date: 04/17/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 OAKFIELD DR STE 115D
BRANDON FL
33511-4930
US

IV. Provider business mailing address

1111 OAKFIELD DR STE 115D
BRANDON FL
33511-4930
US

V. Phone/Fax

Practice location:
  • Phone: 813-324-6541
  • Fax: 813-603-1100
Mailing address:
  • Phone: 813-324-6541
  • Fax: 813-603-1100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: LASONDRIA KING
Title or Position: OWNER/ADMINISTRATOR
Credential:
Phone: 813-841-7368