MEDICARE: KINDCARE HOME HEALTH LLC

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	3747A0650X	Attendant Care Provider

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	299996703	OTHER	FL	AHCA

General Provider Information

NPI Number	:	1205786639
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KINDCARE HOME HEALTH LLC

Provider Business Mailing Address
First Line	:	8404 WILSKY BLVD STE 115
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-1515
Country	:	US
Telephone Number	:	813-709-8284
Fax Number	:	813-697-1874

Provider Business Practice Location Address
First Line	:	8404 WILSKY BLVD STE 115
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-1515
Country	:	US
Telephone Number	:	813-709-8284
Fax Number	:	813-697-1874

Authorized Official
Title or Position	:	OWNER
Name	:	MARTHA C RODRIGUEZ
Credential	:
Telephone Number	:	615-516-4531

Provider Enumeration Date	:	02/03/2026
Last Update Date	:	02/03/2026

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