Healthcare Provider Details

I. General information

NPI: 1437941655
Provider Name (Legal Business Name): 1ST ACE HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 S PARSONS AVE STE 11
BRANDON FL
33511-5256
US

IV. Provider business mailing address

210 S PARSONS AVE STE 11
BRANDON FL
33511-5256
US

V. Phone/Fax

Practice location:
  • Phone: 813-790-8181
  • Fax: 813-303-9355
Mailing address:
  • Phone: 813-790-8181
  • Fax: 813-303-9355

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: CARYL BENEMERITO HARRIS
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 225-627-7012