Healthcare Provider Details
I. General information
NPI: 1174822316
Provider Name (Legal Business Name): ESPERANZA HOME HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/25/2011
Last Update Date: 10/18/2023
Certification Date: 10/18/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5289 EHRLICH RD FL 33624
TAMPA FL
33624-2042
US
IV. Provider business mailing address
5289 EHRLICH RD FL 33624
TAMPA FL
33624-2042
US
V. Phone/Fax
- Phone: 813-374-0214
- Fax: 813-374-0299
- Phone: 813-374-0214
- Fax: 813-374-0299
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 310400000X |
| Taxonomy | Assisted Living Facility |
| License Number | 12288 |
| License Number State | FL |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3747A0650X |
| Taxonomy | Attendant Care Provider |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
TANIA
MANREZA ARMENTEROS
Title or Position: PRESIDENT
Credential:
Phone: 813-263-2861