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NPI Code Detail

MEDICARE: PRIDE IN-HOME CARE

MEDICARE: PRIDE IN-HOME CARE
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
1305S00000XPoint of Service233299FL

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 : 1801210281
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRIDE IN-HOME CARE
Provider Business Mailing Address
First Line : 3225 S MACDILL AVE
Second Line : SUITE 129-183
City : TAMPA
State : FL
Zip : 33629-8171
Country : US
Telephone Number : 813-839-3010
Fax Number : 813-443-2375
Provider Business Practice Location Address
First Line : 5007 S ZION ST
Second Line :
City : TAMPA
State : FL
Zip : 33611-3845
Country : US
Telephone Number : 813-368-5109
Fax Number : 813-443-2375
Authorized Official
Title or Position : OWNER
Name : MR. GEORGE SCOTT BARRETT
Credential :
Telephone Number : 813-368-5109
Provider Enumeration Date : 02/06/2014
Last Update Date : 08/29/2014

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Directions to “PRIDE IN-HOME CARE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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