Healthcare Provider Details

I. General information

NPI: 1518283548
Provider Name (Legal Business Name): TAMPA BAY HOME HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2010
Last Update Date: 04/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3135 SR 580 SUITE 14
SAFETY HARBOR FL
34695-4976
US

IV. Provider business mailing address

3135 SR 580 SUITE 14
SAFETY HARBOR FL
34695-4976
US

V. Phone/Fax

Practice location:
  • Phone: 727-451-6105
  • Fax: 727-451-6106
Mailing address:
  • Phone: 727-451-6105
  • Fax: 727-451-6106

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. KATA AVILA
Title or Position: OWNER
Credential:
Phone: 727-451-6105