TIDEWELL HOSPICE INC. NPI 1417954645

NPI Information

NPI: 1417954645
Provider Name: TIDEWELL HOSPICE, INC.
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Doing Business As: EMPATH TIDEWELL HOSPICE
CLIA Number: 10D1030279
Address: 5955 RAND BLVD
SARASOTA, FL
ZIP 34238
Phone: (941) 552-7500

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NPI Details

TIDEWELL HOSPICE, INC. is a hospice care community based in Sarasota, FL. TIDEWELL HOSPICE, INC. NPI is 1417954645. The provider is registered as an organization entity type.
The provider Is Doing Business As Empath Tidewell Hospice.

The provider's business location address is:

5955 RAND BLVD
SARASOTA, FL
ZIP 34238-160
Phone: (941) 552-7500
Fax: (941) 552-7520

The provider's authorized official is Saida Bouhamid .
The authorized official title is Cfo and has the following contact phone number (941) 552-7500.

The CLIA number assigned to this NPI record is 10D1030279 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/1/2005 and was last updated on 5/5/2023.

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	251G00000X	Hospice Care, Community Based		5028096	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	087527908	MEDICAID	FLORIDA
2	U12	OTHER	FLORIDA	BCBS
3	087527900	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: 11/21/2025

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