AZALEA HOME CARE, LLC (NPI# 1215535265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215535265 |
| Entity Type | Organization |
| Organization Name | AZALEA HOME CARE, LLC |
| Practice Address |
400 N Ashley Dr Ste 2653 Tampa FL 33602-4300 |
| Mailing Address |
7624 Tangle Rush Dr Gibsonton FL 33534-5311 |
| Practice Telephone | 8138621914 |
| Mailing Telephone | 8138621914 |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-10-13 |
| Authorized Official Name | JONOVAN STAFFORD (OWNER) |
| Authorized Official Telephone | 8138621914 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Street Address |
400 N ASHLEY DR STE 2653 |
| City | TAMPA |
| State | FL |
| Zip Code | 33602-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306482088 | Michael P. Flynn | Radiology | 1003 Bay Harbour Place, Tampa, FL 33602 | 2019-11-18 |
| 1821649211 | Shannon Tracy Munz | Nurse Practitioner | 203 N Marion St, Tampa, FL 33602 | 2019-09-26 |
| 1932682846 | Ferrara Dental Pllc | Dentist | 201 East Kennedy Blvd, Suite 1425, Tampa, FL 33602 | 2018-09-07 |
| 1639668692 | Darrell Wayne Fennell Jr. | Counselor | 400 N Ashley Dr Ste 2600, Tampa, FL 33602 | 2018-05-05 |
| 1093233967 | Synergic Healthcare Solutions LLC | Clinic/Center | 303 W Palm Ave, Tampa, FL 33602 | 2017-08-31 |
| 1568980464 | Drsoncalls | General Practice | 449 S 12th St., Unit 2801, Tampa, FL 33602 | 2017-08-31 |
| 1386178283 | Charles Stuart | Occupational Therapy Assistant | 313 E. Oak Ave, Tampa, FL 33602 | 2017-04-18 |
| 1285172122 | Frank Watson | Chiropractor | 1004 North Florida Ave., Tampa, FL 33602 | 2017-02-10 |
| 1295189801 | Stephanie Buchman | Student in an Organized Health Care Education/Training Program | 1156 Shipwatch Circle, Tampa, FL 33602 | 2016-04-20 |
| 1093189896 | Jonnique Adjmul | Counselor | 300 E Madison St Ste 201, Tampa, FL 33602 | 2015-11-17 |
| Find all providers in zip 33602 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619575701 | Top Knotch Care LLC | In Home Supportive Care | 5340 W Kennedy Blvd Unit 436, Tampa, FL 33609-2434 | 2020-10-12 |
| 1962011486 | Ebony Butler | In Home Supportive Care | 5132 Tennis Court Cir, Tampa, FL 33617-4718 | 2020-07-30 |
| 1033728787 | Home Connect Care LLC | In Home Supportive Care | 7001 Shenandoah Ct, Tampa, FL 33615-2960 | 2020-07-29 |
| 1942825351 | Flourish Home Health Care LLC | In Home Supportive Care | 12421 N Florida Ave Ste 229, Tampa, FL 33612-4278 | 2020-06-11 |
| 1023631710 | Corvea Senior Helpers LLC | In Home Supportive Care | 3251 Carlton Arms Dr Unit 11, Tampa, FL 33614-4184 | 2020-05-28 |
| 1306471057 | Heart To Homes Companion Care Services, LLC. | In Home Supportive Care | 18903 Pebble Links Cir Apt 306, Tampa, FL 33647-1893 | 2020-03-03 |
| 1598307746 | Tinika Washington | In Home Supportive Care | 9404 Forest Hills Dr, Tampa, FL 33612-7720 | 2019-10-09 |
| 1053953240 | Firstone Care Agency LLC | In Home Supportive Care | 5700 Memorial Hwy Ste 204, Tampa, FL 33615-5258 | 2019-10-09 |
| 1316598998 | Paramount Health Group LLC | In Home Supportive Care | 17425 Bridge Hill Crt. Unit 200b, Tampa, FL 33647 | 2019-09-24 |
| 1124675087 | Tampa Bay Seniors Services LLC | In Home Supportive Care | 8270 Woodland Center Blvd Ste 141, Tampa, FL 33614-2401 | 2019-08-23 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.