Healthcare Provider Details

I. General information

NPI: 1821495839
Provider Name (Legal Business Name): AMELLO HOME CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2014
Last Update Date: 03/25/2025
Certification Date: 03/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6601 MEMORIAL HWY
TAMPA FL
33615
US

IV. Provider business mailing address

7028 W WATERS AVE # 216
TAMPA FL
33634-2292
US

V. Phone/Fax

Practice location:
  • Phone: 813-616-6002
  • Fax: 813-616-6003
Mailing address:
  • Phone: 813-616-6002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number299994757
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MRS. ROBERTA WARREN
Title or Position: CEO
Credential:
Phone: 813-616-6002