Healthcare Provider Details

I. General information

NPI: 1689502411
Provider Name (Legal Business Name): SWINGHOME, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 WARRIOR DRIVE
ROUND LAKE HEIGHTS IL
60073
US

IV. Provider business mailing address

7901 4TH ST N STE 300
ST PETERSBURG FL
33702-4399
US

V. Phone/Fax

Practice location:
  • Phone: 813-693-0610
  • Fax:
Mailing address:
  • Phone: 813-693-0610
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMES FARRELL
Title or Position: CEO
Credential:
Phone: 813-693-0610