Organization Active NPI

Concierge Care of Tampa, LLC

  • In Home Supportive Care Agency
  • Tampa, FL
National Provider Identifier
1023547841
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CONCIERGE CARE OF TAMPA, LLC
Practice address
6601 Memorial Hwy Ste 307
Tampa, FL 33615-4501
Phone
(813) 249-2273
NPI assigned
Jun 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Robert Gregory Young
Title
Managing Member
Phone
(813) 249-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

6601 Memorial Hwy Ste 307
Tampa, FL 33615-4501

Mailing address

6817 Southpoint Pkwy Ste 1004
Jacksonville, FL 32216-8201
Phone (904) 333-9820

Other identifiers 1

IdentifierTypeStateIssuer
00000OtherFLSENIOR CARE REFERRAL AGENCY

Other names 1

  • Concierge Care Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Company Direct

National Provider Directory

National Provider Directory

Locations

6601 Memorial Hwy
Ste 307
Tampa, FL 33615
Phone (813) 249-2273

6601 Memorial Hwy
Ste 100
Tampa, FL 33615

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1023547841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6817 SOUTHPOINT PKWY STE 1004",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168201",
            "telephone_number": "904-333-9820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 MEMORIAL HWY STE 307",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336154501",
            "telephone_number": "813-249-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCIERGE CARE OF TAMPA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-06",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "813-249-2273",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENIOR CARE REFERRAL AGENCY",
            "identifier": "00000",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Company",
            "affiliation": "N",
            "endpointDescription": "Managed by Venture Point",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6601 Memorial Hwy Ste 100",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336154501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Concierge Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Concierge Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.