Healthcare Provider Details

I. General information

NPI: 1306523147
Provider Name (Legal Business Name): OMNIPRESENT CAREGIVERS OF FLORIDA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2023
Last Update Date: 07/17/2023
Certification Date: 07/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3510 1ST AVE N STE 123
SAINT PETERSBURG FL
33713-8416
US

IV. Provider business mailing address

3510 1ST AVE N STE 123
SAINT PETERSBURG FL
33713-8416
US

V. Phone/Fax

Practice location:
  • Phone: 866-425-9297
  • Fax: 866-425-9297
Mailing address:
  • Phone: 866-425-9297
  • Fax: 866-425-9297

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. LAKESHIA M CURRIN
Title or Position: CEO
Credential:
Phone: 727-223-2176