Healthcare Provider Details

I. General information

NPI: 1659996015
Provider Name (Legal Business Name): HEALTHY HOME HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2020
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10002 PRINCESS PALM AVE STE 100
TAMPA FL
33619-8371
US

IV. Provider business mailing address

10002 PRINCESS PALM AVE STE 100
TAMPA FL
33619-8371
US

V. Phone/Fax

Practice location:
  • Phone: 813-652-7070
  • Fax: 813-212-4213
Mailing address:
  • Phone: 813-652-7070
  • Fax: 813-212-4213

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: JIMMY DRAWDY
Title or Position: COO
Credential: RN
Phone: 352-457-5864