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CCMEDIC HOMECARE LLC NPI 1376245381


NPI Information

NPI: 1376245381
Provider Name: CCMEDIC HOMECARE LLC
Classification: Home Health - 251E00000X
Entity Type: Organization

CLIA Number: 10D2285242

Address:
7320 E FLETCHER AVE STE 155
TAMPA, FL
ZIP 33637
Phone: (816) 944-2243
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CCMEDIC HOMECARE LLC is a home health in Tampa, FL. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. CCMEDIC HOMECARE LLC NPI is 1376245381. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7320 E FLETCHER AVE STE 155
TAMPA, FL
ZIP 33637-916
Phone: (816) 944-2243

The provider's authorized official is Idongesit E Joseph .
The authorized official title is Registered Nurse and has the following contact phone number (813) 616-0446.

The CLIA number assigned to this NPI record is 10D2285242 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/21/2023 and was last updated on 5/8/2023.


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
1163WH0200XRegistered NurseHome HealthNo
2251E00000XHome HealthYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.