Healthcare Provider Details

I. General information

NPI: 1063068369
Provider Name (Legal Business Name): CARESS HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2019
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14025 N DALE MABRY HWY
TAMPA FL
33618-2401
US

IV. Provider business mailing address

3208 TARABROOK DR
TAMPA FL
33618-2568
US

V. Phone/Fax

Practice location:
  • Phone: 813-756-0488
  • Fax: 813-501-1060
Mailing address:
  • Phone: 813-598-1677
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: DANAY INTERIAN
Title or Position: PRESIDENT
Credential:
Phone: 813-598-1677