Active NPI
Siragusa LLC Dba Granny Nannies
- Home Health Agency
- Tampa, FL
National Provider Identifier
1104291624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 30211147
- Legal business name
- SIRAGUSA LLC DBA GRANNY NANNIES
- Practice address
- 3902 Henderson Blvd
Suite 200
Tampa, FL 33629-5038 - Phone
- (813) 254-1299
- Fax
- (813) 877-6385
- NPI assigned
- Dec 9, 2015
- 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
- Ms. Jodi Earle
- Title
- Director of Operations
- Phone
- (813) 254-1299
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 30211147 | FL | Primary |
Addresses
Primary practice location
3902 Henderson Blvd
Suite 200
Tampa, FL 33629-5038
Mailing address
3902 Henderson Blvd
Suite 200
Tampa, FL 33629-5038
Phone (813) 254-1299
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 684866401 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Siragusa LLC Dba Granny Nannies
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- St Petersburg, FL
- NPI 1528279403
Locations
3902 Henderson Blvd
Ste 200
Tampa, FL 33629
Phone (800) 277-1182
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449619200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1449619200000",
"number": "1104291624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3902 HENDERSON BLVD",
"address_2": "SUITE 200",
"city": "TAMPA",
"state": "FL",
"postal_code": "336295038",
"telephone_number": "813-254-1299",
"fax_number": "813-877-6385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3902 HENDERSON BLVD",
"address_2": "SUITE 200",
"city": "TAMPA",
"state": "FL",
"postal_code": "336295038",
"telephone_number": "813-254-1299",
"fax_number": "813-877-6385"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIRAGUSA LLC DBA GRANNY NANNIES",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-09",
"last_updated": "2015-12-09",
"status": "A",
"authorized_official_last_name": "EARLE",
"authorized_official_first_name": "JODI",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "813-254-1299",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "30211147",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "684866401",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
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 Dec 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.