Healthcare Provider Details

I. General information

NPI: 1417417940
Provider Name (Legal Business Name): INSTRUMENTS FOR HOPE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2019
Last Update Date: 06/10/2021
Certification Date: 06/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 E BAY DR STE 205
LARGO FL
33771-2487
US

IV. Provider business mailing address

2600 E BAY DR STE 205
LARGO FL
33771-2487
US

V. Phone/Fax

Practice location:
  • Phone: 727-204-4781
  • Fax:
Mailing address:
  • Phone: 727-204-4781
  • Fax:

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 Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385HR2065X
TaxonomyChild Physical Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: DANIELLE MARCUM
Title or Position: OWNER
Credential:
Phone: 727-204-4781