MEDICARE: SARATOGA INITIATIVES, INC

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	251E00000X	Home Health Agency	299994664	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	299994664	OTHER	FL	HOME HEALTH AGENCY LICENSE

General Provider Information

NPI Number	:	1376067199
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SARATOGA INITIATIVES, INC

Provider Business Mailing Address
First Line	:	13907 N DALE MABRY HWY STE 206
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33618-2411
Country	:	US
Telephone Number	:	813-608-7787
Fax Number	:	813-609-3506

Provider Business Practice Location Address
First Line	:	13907 N DALE MABRY HWY STE 206
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33618-2411
Country	:	US
Telephone Number	:	813-608-7787
Fax Number	:	813-609-3506

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	THOMAS N GEORGE II
Credential	:
Telephone Number	:	813-605-7787

Provider Enumeration Date	:	08/02/2017
Last Update Date	:	07/21/2022

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Directions to “SARATOGA INITIATIVES, INC ” Practice Location

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