Healthcare Provider Details

I. General information

NPI: 1346151099
Provider Name (Legal Business Name): G.S.K. SIGNATURE HOMEMAKER CO.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13631 SILVER CHARM CT
RIVERVIEW FL
33579-2350
US

IV. Provider business mailing address

13631 SILVER CHARM CT
RIVERVIEW FL
33579-2350
US

V. Phone/Fax

Practice location:
  • Phone: 813-410-6823
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MRS. SAMANTHA ANDERSON-PRINGLE
Title or Position: OWNER
Credential:
Phone: 813-410-6823