Healthcare Provider Details

I. General information

NPI: 1720530660
Provider Name (Legal Business Name): SEASONS HOSPICE & PALLIATIVE CARE OF TAMPA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2016
Last Update Date: 05/02/2024
Certification Date: 05/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1408 N WEST SHORE BLVD STE 260
TAMPA FL
33607-4525
US

IV. Provider business mailing address

6400 SHAFER CT STE 700
ROSEMONT IL
60018-4914
US

V. Phone/Fax

Practice location:
  • Phone: 847-692-1148
  • Fax:
Mailing address:
  • Phone: 847-692-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number StateFL

VIII. Authorized Official

Name: HEATHER SISCEL
Title or Position: VP LEGAL
Credential:
Phone: 813-607-2630