Healthcare Provider Details

I. General information

NPI: 1225932726
Provider Name (Legal Business Name): HEART OF HOPE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

18219 PORTSIDE ST
TAMPA FL
33647-3355
US

IV. Provider business mailing address

18219 PORTSIDE ST
TAMPA FL
33647-3355
US

V. Phone/Fax

Practice location:
  • Phone: 813-731-6681
  • Fax:
Mailing address:
  • Phone: 813-731-6681
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL

VIII. Authorized Official

Name: JARAYA REED
Title or Position: OWNER
Credential:
Phone: 813-731-6681