Healthcare Provider Details

I. General information

NPI: 1508225434
Provider Name (Legal Business Name): UPLIFT HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2016
Last Update Date: 01/22/2026
Certification Date: 01/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 W REYNOLDS ST STE 104
PLANT CITY FL
33563-3377
US

IV. Provider business mailing address

110 W REYNOLDS ST STE 104
PLANT CITY FL
33563-3377
US

V. Phone/Fax

Practice location:
  • Phone: 813-261-0130
  • Fax: 813-261-0603
Mailing address:
  • Phone: 813-261-0130
  • Fax: 813-261-0603

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number299994569
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code385HR2055X
TaxonomyChild Mental Illness Respite Care
License Number
License Number State

VIII. Authorized Official

Name: WADDIE ALAN FREEMAN
Title or Position: CEO/ADMINISTRATOR
Credential:
Phone: 813-370-7817