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NPI Code Detail

MEDICARE: SOPHIA CARING CENTER INC

MEDICARE: SOPHIA CARING CENTER 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
1253Z00000XIn Home Supportive Care Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417605486
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOPHIA CARING CENTER INC
Provider Business Mailing Address
First Line : 6511 N HIMES AVE STE C
Second Line :
City : TAMPA
State : FL
Zip : 33614-4027
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6511 N HIMES AVE STE C
Second Line :
City : TAMPA
State : FL
Zip : 33614-4027
Country : US
Telephone Number : 813-851-3950
Fax Number :
Authorized Official
Title or Position : OFFICER
Name : EVA KLIMA
Credential :
Telephone Number : 813-466-2959
Provider Enumeration Date : 03/17/2022
Last Update Date : 03/17/2022

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Directions to “SOPHIA CARING CENTER INC ” Practice Location

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