=====================================================
General NPI Number Information
=====================================================
NPI Number | 1043030992
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SOUTHWEST FLORIDA HOME CARE, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/15/2024
-----------------------------------------------------
Last Update Date | 02/05/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7714 MASSACHUSETTS AVE
-----------------------------------------------------
City | NEW PORT RICHEY
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34653-3024
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 727-242-8768
-----------------------------------------------------
Fax | 727-242-8769
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9720 PRINCESS PALM AVE STE 130
-----------------------------------------------------
City | TAMPA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33619-8346
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 813-906-5058
-----------------------------------------------------
Fax | 813-374-5882
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | DR. MARIA ZAMBITO
-----------------------------------------------------
Credential | DPT
-----------------------------------------------------
Telephone | 813-906-5058
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------