Organization Active NPI

MRC Home Care Inc

  • Home Health Agency
  • Tampa, FL
National Provider Identifier
1124753470
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MRC HOME CARE INC
Practice address
3806 Gunn Hwy Ste D
Tampa, FL 33618-8754
Phone
(813) 808-6614
Fax
(941) 827-8986
NPI assigned
Jul 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Authorized official

Name
Massiel Paula Rodriguez Cruz, RNNPI 1912756594
Title
Owner
Phone
(813) 808-6614

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3806 Gunn Hwy Ste D
Tampa, FL 33618-8754

Mailing address

7827 N Dale Mabry Hwy Ste 102
Tampa, FL 33614-3222
Phone (813) 808-6614

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230502003070 FL Part A Provider - Home Health Agency 9537524228 Practice locations: Tampa, FL

Home health agency certification: CCN 687270

Legal name
MRC HOME CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 23, 2023
Last certification
Jul 23, 2023
Organization structure
OtherProprietary
Incorporated
Jul 20, 2022 in FL
Enrollment address
3806 Gunn Hwy
Ste D
Tampa, FL 33618-8754
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
MRC Home Care IncCCN 687270
Overall star rating
1.5 of 5
Ownership
-
Certified
Jul 23, 2023
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2278360MRC Home Care, Inc3806 Gunn Highway Suite D, Tampa, FL 33618Certificate of waiverMar 15, 2027

National Provider Directory

National Provider Directory

Locations

3806 Gunn Hwy
Ste D
Tampa, FL 33618
Phone (813) 709-6372

7827 N Dale Mabry Hwy
Ste 102
Tampa, FL 33614

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Massiel Rodriguez Cruz Individual Contracted Managing EmployeeOwner Jul 20, 2022 100%
5% Or Greater Direct Ownership InterestOwner Jul 20, 2022 100%
Corporate OfficerOwner Jul 20, 2022 100%
Corporate DirectorOwner Jul 20, 2022 100%
W-2 Managing EmployeeOwner Jul 20, 2022 100%
Operational/Managerial ControlOwner Jul 20, 2022 100%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1124753470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7827 N DALE MABRY HWY STE 102",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143222",
            "telephone_number": "813-808-6614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3806 GUNN HWY STE D",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336188754",
            "telephone_number": "813-808-6614",
            "fax_number": "941-827-8986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRC HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-20",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ CRUZ",
        "authorized_official_first_name": "MASSIEL",
        "authorized_official_middle_name": "PAULA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-808-6614",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.