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NPI Code Detail

MEDICARE: VIDACARE HOMEMAKER AND COMPANION SERVICES LLC

MEDICARE: VIDACARE HOMEMAKER AND COMPANION SERVICES 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
1376J00000XHomemaker

General Provider Information

NPI Number : 1932039328
Entity Type Code : Organization
Provider Name (Legal Business Name) : VIDACARE HOMEMAKER AND COMPANION SERVICES LLC
Provider Business Mailing Address
First Line : 2016 WAIKIKI WAY
Second Line :
City : TAMPA
State : FL
Zip : 33619-5734
Country : US
Telephone Number : 813-424-0455
Fax Number :
Provider Business Practice Location Address
First Line : 2016 WAIKIKI WAY
Second Line :
City : TAMPA
State : FL
Zip : 33619-5734
Country : US
Telephone Number : 813-424-0455
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JOAMMY LUIS
Credential :
Telephone Number : 813-424-0455
Provider Enumeration Date : 05/19/2026
Last Update Date : 05/19/2026

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