Healthcare Provider Details

I. General information

NPI: 1013830579
Provider Name (Legal Business Name): GOLD CARE HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6105 MEMORIAL HWY STE A4
TAMPA FL
33615-4503
US

IV. Provider business mailing address

6105 MEMORIAL HWY STE A4
TAMPA FL
33615-4503
US

V. Phone/Fax

Practice location:
  • Phone: 813-290-7325
  • Fax: 813-725-5328
Mailing address:
  • Phone: 813-290-7325
  • Fax: 813-725-5328

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: LILIANA HERNANDEZ
Title or Position: OWNER, ADMINISTRATOR, CFO
Credential: RN
Phone: 813-290-7325