MEDICARE: HEALTHY HOME HEALTHCARE 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	253Z00000X	In Home Supportive Care Agency
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1659996015
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHY HOME HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	10002 PRINCESS PALM AVE STE 100
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33619-8371
Country	:	US
Telephone Number	:	813-652-7070
Fax Number	:	813-212-4213

Provider Business Practice Location Address
First Line	:	10002 PRINCESS PALM AVE STE 100
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33619-8371
Country	:	US
Telephone Number	:	813-652-7070
Fax Number	:	813-212-4213

Authorized Official
Title or Position	:	COO
Name	:	JIMMY DRAWDY
Credential	:	RN
Telephone Number	:	352-457-5864

Provider Enumeration Date	:	06/11/2020
Last Update Date	:	04/06/2026

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