Healthcare Provider Details

I. General information

NPI: 1134044225
Provider Name (Legal Business Name): MARTINEZ LOVING CARE AGENCY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3980 TAMPA RD STE 101D
OLDSMAR FL
34677-3223
US

IV. Provider business mailing address

3980 TAMPA RD STE 101D
OLDSMAR FL
34677-3223
US

V. Phone/Fax

Practice location:
  • Phone: 813-446-2988
  • Fax: 813-441-7515
Mailing address:
  • Phone: 813-446-2988
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: GRETTELL BARRETO
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 813-841-5661