HOMELAND WELLNESS LLC NPI 1760704308

NPI Information

NPI: 1760704308
Provider Name: HOMELAND WELLNESS LLC
Classification: Clinic/Center - 261QC1800X
Entity Type: Organization

Specialization: Corporate Health

CLIA Number: 10D2008586

Address:
6601 MEMORIAL HWY
SUITE 219
TAMPA, FL
ZIP 33615
Phone: (813) 433-1669
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HOMELAND WELLNESS LLC is a corporate health clinic center in Tampa, FL. HOMELAND WELLNESS LLC NPI is 1760704308. The provider is registered as an organization entity type.

The provider's business location address is:

6601 MEMORIAL HWY
SUITE 219
TAMPA, FL
ZIP 33615-501
Phone: (813) 433-1669
Fax: (813) 433-1724

The provider's authorized official is Sharon Marie Gray .
The authorized official title is Managing Member/ceo and has the following contact phone number (813) 433-1669.

The CLIA number assigned to this NPI record is 10D2008586 - health fair with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/24/2010 and was last updated on 3/23/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QC1800X	Clinic/Center	Corporate Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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