Healthcare Provider Details

I. General information

NPI: 1629983366
Provider Name (Legal Business Name): BUDDIES OF ABILITIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10165 NEWMINSTER LOOP
RUSKIN FL
33573-6727
US

IV. Provider business mailing address

690 MAIN ST # 1036
SAFETY HARBOR FL
34695-3551
US

V. Phone/Fax

Practice location:
  • Phone: 813-820-8397
  • Fax:
Mailing address:
  • Phone:
  • 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: JASMINE WHITE
Title or Position: OWNER
Credential:
Phone: 813-820-8397