Active NPI
Concierge Care of Tampa, LLC
- In Home Supportive Care Agency
- Tampa, FL
National Provider Identifier
1023547841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000 | Other | FL | SENIOR CARE REFERRAL AGENCY |
Other names 1
- Concierge Care
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Company | Direct |
National Provider Directory
National Provider DirectoryLocations
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.