MEDICARE: BENEVIDA 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	251E00000X	Home Health Agency

Other Identifiers

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

General Provider Information

NPI Number	:	1578223897
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BENEVIDA HOME HEALTH LLC

Provider Business Mailing Address
First Line	:	8404 WILSKY BLVD STE 104
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-1515
Country	:	US
Telephone Number	:	813-508-8872
Fax Number	:

Provider Business Practice Location Address
First Line	:	8404 WILSKY BLVD STE 104
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-1515
Country	:	US
Telephone Number	:	813-508-8872
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR/OWNER
Name	:	JENIFFER RODRIGUEZ
Credential	:
Telephone Number	:	813-508-8872

Provider Enumeration Date	:	12/28/2021
Last Update Date	:	05/28/2026

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Directions to “BENEVIDA HOME HEALTH LLC ” Practice Location

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