Healthcare Provider Details

I. General information

NPI: 1124753470
Provider Name (Legal Business Name): MRC HOME CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2022
Last Update Date: 06/05/2024
Certification Date: 06/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3806 GUNN HWY STE D
TAMPA FL
33618-8754
US

IV. Provider business mailing address

7827 N DALE MABRY HWY STE 102
TAMPA FL
33614-3222
US

V. Phone/Fax

Practice location:
  • Phone: 813-808-6614
  • Fax: 941-827-8986
Mailing address:
  • Phone: 813-808-6614
  • Fax:

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: MASSIEL PAULA RODRIGUEZ CRUZ
Title or Position: OWNER
Credential: RN
Phone: 813-808-6614