MEDICARE: VIP HOME CARE AGENCY

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	163WH0200X	Home Health Registered Nurse

General Provider Information

NPI Number	:	1558950311
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIP HOME CARE AGENCY

Provider Business Mailing Address
First Line	:	1902 W MAIN ST STE 202
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-4322
Country	:	US
Telephone Number	:	813-833-4432
Fax Number	:

Provider Business Practice Location Address
First Line	:	1902 W MAIN ST STE 202
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-4322
Country	:	US
Telephone Number	:	813-833-4432
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. TRENEECIA S GILMORE
Credential	:	RN
Telephone Number	:	813-833-4332

Provider Enumeration Date	:	01/14/2021
Last Update Date	:	09/11/2025

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Directions to “VIP HOME CARE AGENCY ” Practice Location

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