Healthcare Provider Details

I. General information

NPI: 1841998044
Provider Name (Legal Business Name): SAPPHIRE HOME HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2023
Last Update Date: 07/29/2024
Certification Date: 07/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7320 E FLETCHER AVE
TEMPLE TERRACE FL
33637-0916
US

IV. Provider business mailing address

7320 E FLETCHER AVE
TEMPLE TERRACE FL
33637-0916
US

V. Phone/Fax

Practice location:
  • Phone: 470-545-0860
  • Fax: 470-300-7778
Mailing address:
  • Phone: 470-545-0860
  • Fax: 470-300-7778

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ELLA STEPHENSON
Title or Position: ADMINISTRATOR
Credential:
Phone: 470-217-8445