MAYBELLE GROUP HOME LLC NPI 1972365799

NPI Information

  • NPI: 1972365799
  • Provider Name: MAYBELLE GROUP HOME LLC
  • Classification: Clinical Nurse Specialist - 364SL0600X
  • Specialization: Long-Term Care
  • Entity Type: Organization
  • Address: 7207 LAKESHORE DRIVE
    TAMPA, FL
    ZIP 33604
  • Phone: (813) 966-7399

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NPI Details

MAYBELLE GROUP HOME LLC is a long-term care clinical nurse specialist in Tampa, FL. MAYBELLE GROUP HOME LLC NPI is 1972365799. The provider is registered as an organization entity type.

The provider's business location address is:

7207 LAKESHORE DRIVE
TAMPA, FL
ZIP 33604
Phone: (813) 966-7399
Fax: (813) 212-6002

The provider's authorized official is Waveney Gittens-williams .
The authorized official title is Assistant Administrator and has the following contact phone number (813) 966-7399.

The enumeration date for this NPI number is 1/26/2024 and was last updated on 1/26/2024.

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
1251C00000XDay Training, Developmentally Disabled ServicesNo
2251J00000XNursing CareNo
3253Z00000XIn Home Supportive CareNo
4364SL0600XClinical Nurse SpecialistLong-Term CareYes

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: 3/30/2025

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