Healthcare Provider Details

I. General information

NPI: 1205654613
Provider Name (Legal Business Name): GULF HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2024
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3903 NORTHDALE BLVD STE 100E
TAMPA FL
33624-1862
US

IV. Provider business mailing address

3903 NORTHDALE BLVD STE 100E
TAMPA FL
33624-1862
US

V. Phone/Fax

Practice location:
  • Phone: 347-444-8472
  • Fax:
Mailing address:
  • Phone:
  • 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: NAYELY DELAROSA
Title or Position: OWNER
Credential:
Phone: 347-444-8472