MEDICARE: OPAL HOME CARE 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1518810936
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPAL HOME CARE INC

Provider Business Mailing Address
First Line	:	15100 HUTCHISON RD OFC 103
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33625-5511
Country	:	US
Telephone Number	:	813-407-6888
Fax Number	:

Provider Business Practice Location Address
First Line	:	15100 HUTCHISON RD OFC 103
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33625-5511
Country	:	US
Telephone Number	:	813-407-6888
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. RENE LOPEZ-MARTINEZ
Credential	:
Telephone Number	:	813-407-6888

Provider Enumeration Date	:	02/16/2026
Last Update Date	:	02/16/2026

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Directions to “OPAL HOME CARE INC ” Practice Location

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