Healthcare Provider Details

I. General information

NPI: 1730094731
Provider Name (Legal Business Name): FAMILY FOCUS SUPPORT SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9844 SAPPHIRE DELTA WAY
WESLEY CHAPEL FL
33545-4948
US

IV. Provider business mailing address

9844 SAPPHIRE DELTA WAY
WESLEY CHAPEL FL
33545-4948
US

V. Phone/Fax

Practice location:
  • Phone: 813-369-4202
  • Fax:
Mailing address:
  • Phone: 813-369-4202
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. SAMUEL THOMAS GLOVER
Title or Position: MANAGER
Credential: OWNER
Phone: 813-369-4202