Tidewell Home Health, LLC

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Legal business name

TIDEWELL HOME HEALTH, LLC

Practice address

5955 Rand Blvd
Sarasota, FL 34238-5160

Phone

(941) 552-7500

Fax

(941) 926-4883

NPI assigned

May 26, 2010

Organization subpart

No

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

Authorized official

Name

Saida Bouhamid

Title

Cfo

Phone

(941) 552-7500

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Empath Personal Care Doing business as

Electronic endpoints 1

Tax ID family

Empath Personal Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Tidewell Home Health, LLC

  • Attendant Care Provider
  • Sarasota, FL
  • NPI 1033873112
  NPD tax ID

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

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1144549403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5955 RAND BLVD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342385160",
            "telephone_number": "941-552-7500",
            "fax_number": "941-926-4883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5955 RAND BLVD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342385160",
            "telephone_number": "941-552-7500",
            "fax_number": "941-926-4883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDEWELL HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-26",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "BOUHAMID",
        "authorized_official_first_name": "SAIDA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "941-552-7500"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002597101",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Netsmart",
            "affiliation": "N",
            "endpointDescription": "Netsmart",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5955 Rand Blvd",
            "city": "Sarasota",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342385160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Empath Personal Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dorothy A. Tiberii, DMD
• Lisa Ashley Tichenor, DO
• Tidewater Total Mind Care, LLC
• Tidewell Home Health Services
• Tidewell Home Health, LLC
• Tidewell Hospice & Palliative Care
• Tidewell Hospice and Palliative Care
• Tidewell Hospice, Inc.
• Tidewell Hospice, Inc.
• Tidewell Hospice, Inc.

• Attendant Care Provider in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Attendant Care Provider in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.