TRI-LYFE SUPPORT SERVICES INC (NPI# 1841819489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841819489 |
| Entity Type | Organization |
| Organization Name | TRI-LYFE SUPPORT SERVICES INC |
| Practice Address |
3919 E Fern St Apt 4 Tampa FL 33610-1609 |
| Mailing Address |
Po Box 311356 Tampa FL 33680-3356 |
| Practice Telephone | 8137700202 |
| Practice Fax Number | 8009006377 |
| Mailing Telephone | 8137700202 |
| Mailing Fax Number | 8009006377 |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2020-04-14 |
| Authorized Official Name | VALERIE JONES (ADMINISTRATOR) |
| Authorized Official Telephone | 8137700202 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| N | 251E00000X | Home Health | Agencies | ||
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Street Address |
3919 E FERN ST APT 4 |
| City | TAMPA |
| State | FL |
| Zip Code | 33610-1609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184273161 | Mayra Iris Pesante Lopez | Behavior Technician | 10150 Highlands Manor Drive Suite 200, Tampa, FL 33610 | 2019-09-11 |
| 1902464381 | Ruth Hosen Milfort | Case Manager/Care Coordinator | 5707 N. 22nd Street, Tampa, FL 33610 | 2019-05-31 |
| 1265914626 | Universal Transportation Management Inc | Non-emergency Medical Transport (VAN) | 4108 N 22nd Street, Tampa, FL 33610 | 2018-09-02 |
| 1346759115 | Speedway Plus 2 Car Care Center LLCc | Residential Treatment Facility, Physical Disabilities | 8007 Glenoak Rd., Tampa, FL 33610 | 2017-09-25 |
| 1245757707 | Duy Dang | Behavioral Analyst | 4402 Claymore Dr Unit 203, Tampa, FL 33610 | 2017-08-25 |
| 1144745043 | Jonequa Baker | Home Health Aide | 709 North Castle Court, Tampa, FL 33610 | 2017-08-11 |
| 1619401338 | Dedicated Senior Medical Center East Tampa, LLC. | Non-Pharmacy Dispensing Site | 3128 East Hillsborough Avenue, Dedicated Senior Medical Center East Tampa, LLC., Tampa, FL 33610 | 2017-04-19 |
| 1669917423 | Olivia Anderson | Counselor | 10150 Highland Manor Dr Ste 200#108, Tampa, FL 33610 | 2017-01-03 |
| 1952779050 | Tampa Family Health Centers, Inc | Clinic/Center | 3100 E. Fletcher Avenue, Tampa, FL 33610 | 2015-09-04 |
| 1215303821 | Morissa Kidd | Technician, Other | 8062 Deerwood Circle, Tampa, FL 33610 | 2015-08-18 |
| Find all providers in zip 33610 | ||||
| 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 |
|---|---|---|---|---|
| 1215535265 | Azalea Home Care, LLC | In Home Supportive Care | 400 N Ashley Dr Ste 2653, Tampa, FL 33602-4300 | 2020-10-13 |
| 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 |
| 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.