MEDICARE: LIFE SENIOR HOME CARE CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	299996768	OTHER	FL	AHCA

General Provider Information

NPI Number	:	1154263945
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFE SENIOR HOME CARE CORP

Provider Business Mailing Address
First Line	:	13361 N 56TH ST STE G
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33617-1161
Country	:	US
Telephone Number	:	813-733-4173
Fax Number	:	813-733-4051

Provider Business Practice Location Address
First Line	:	13361 N 56TH ST STE G
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33617-1161
Country	:	US
Telephone Number	:	813-733-4173
Fax Number	:	813-733-4051

Authorized Official
Title or Position	:	OWNER
Name	:	YAQUELINE SANCHEZ BELLO
Credential	:
Telephone Number	:	813-733-4173

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/08/2026

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Directions to “LIFE SENIOR HOME CARE CORP ” Practice Location

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