=====================================================
General NPI Number Information
=====================================================
NPI Number | 1417907627
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CORAM HEALTHCARE CORPORATION OF FLORIDA
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/10/2006
-----------------------------------------------------
Last Update Date | 10/30/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8603 FLORIDA MINING BLVD
-----------------------------------------------------
City | TAMPA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33634-1261
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 813-639-4500
-----------------------------------------------------
Fax | 813-639-4501
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 809160
-----------------------------------------------------
City | CHICAGO
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60680-9160
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 480-765-5043
-----------------------------------------------------
Fax | 401-733-0211
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | EMILY FIELD
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 401-765-1500
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | HHA202960961
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 251F00000X
-----------------------------------------------------
Taxonomy Name | Home Infusion Agency
-----------------------------------------------------
License Number | HHA202960961
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------