Healthcare Provider Details

I. General information

NPI: 1457237539
Provider Name (Legal Business Name): HILDORA HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2025
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5414 TOWN N COUNTRY BLVD
TAMPA FL
33615-4120
US

IV. Provider business mailing address

5414 TOWN N COUNTRY BLVD
TAMPA FL
33615-4120
US

V. Phone/Fax

Practice location:
  • Phone: 813-230-4410
  • Fax:
Mailing address:
  • Phone: 813-230-4410
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: HILDA OBI-ANADIUME
Title or Position: OWNER, PRESIDENT
Credential:
Phone: 813-230-4410