CONCORD HOME CARE LLC NPI 1942083472

NPI Information

NPI: 1942083472
Provider Name: CONCORD HOME CARE, LLC
Classification: Registered Nurse - 163WH0200X
Entity Type: Organization

Specialization: Home Health

CLIA Number: 10D2290658

Address:
1211 TECH BLVD STE 110
TAMPA, FL
ZIP 33619
Phone: (813) 490-5907
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CONCORD HOME CARE, LLC is a home health registered nurse in Tampa, FL. CONCORD HOME CARE, LLC NPI is 1942083472. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1211 TECH BLVD STE 110
TAMPA, FL
ZIP 33619-846
Phone: (813) 490-5907

The provider's authorized official is Shayna Cadet .
The authorized official title is Ceo and has the following contact phone number (239) 822-0823.

The CLIA number assigned to this NPI record is 10D2290658 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/17/2023 and was last updated on 12/15/2023.

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	163WH0200X	Registered Nurse	Home 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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