WILMAS COMPANIONS HOME CARE NPI 1588092258

NPI Information

NPI: 1588092258
Provider Name: WILMAS COMPANIONS HOME CARE

Former Legal Business Name: AUNT WILMAS COMPANIONS HOME CARE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
111 2ND AVE NE
330
ST PETERSBURG, FL
ZIP 33701
Phone: (727) 209-2868
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WILMAS COMPANIONS HOME CARE is a hospice care community based in St Petersburg, FL. WILMAS COMPANIONS HOME CARE NPI is 1588092258. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Aunt Wilmas Companions Home Care.

The provider's business location address is:

111 2ND AVE NE
330
ST PETERSBURG, FL
ZIP 33701-434
Phone: (727) 209-2868
Fax: (727) 823-0796

The provider's authorized official is Frank Gilliam .
The authorized official title is D.o.o. and has the following contact phone number (727) 209-2868.

The enumeration date for this NPI number is 10/16/2013 and was last updated on 10/16/2013.

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	251G00000X	Hospice Care, Community Based		5897	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	680830100	MEDICAID	FLORIDA

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: 4/28/2024

NPI Synchronization or Removal

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