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NPI Code Detail

MEDICARE: THE HOME ASSOCIATION, INC.

MEDICARE: THE HOME ASSOCIATION, 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
1314000000XSkilled Nursing FacilityFL

General Provider Information

NPI Number : 1902807266
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE HOME ASSOCIATION, INC.
Provider Business Mailing Address
First Line : 1203 E 22ND AVE
Second Line :
City : TAMPA
State : FL
Zip : 33605-1719
Country : US
Telephone Number : 813-229-6901
Fax Number : 813-229-6944
Provider Business Practice Location Address
First Line : 1203 E 22ND AVE
Second Line :
City : TAMPA
State : FL
Zip : 33605-1719
Country : US
Telephone Number : 813-229-6901
Fax Number : 813-229-6944
Authorized Official
Title or Position : PRESIDENT
Name : MS. SUSAN P. LEISNER
Credential :
Telephone Number : 813-229-6901
Provider Enumeration Date : 08/09/2005
Last Update Date : 08/22/2020

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Directions to “THE HOME ASSOCIATION, INC. ” Practice Location

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