Tidewell Hospice & Palliative Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

299991723 Issued in FL

Legal business name

TIDEWELL HOSPICE & PALLIATIVE CARE

Practice address

2967 Bee Ridge Rd
Suite 3
Sarasota, FL 34239-7113

Phone

(941) 929-2369

Fax

(941) 929-2363

NPI assigned

Dec 14, 2006

Organization subpart

No

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

Authorized official

Name

Jonathan David Fleece

Title

Ceo

Phone

(941) 552-7525

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Journeys HomeCare Doing business as

Tax ID family

Tidewell Hospice and Palliative Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Tidewell Hospice and Palliative Care

  • Specialist
  • Sarasota, FL
  • NPI 1952441511
  NPD tax ID
• Tidewell Hospice, Inc.

  • Community Based Hospice Care Agency
  • Sarasota, FL
  • NPI 1972274546
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Tidewell Hospice and Palliative Care

  • Specialist
  • Sarasota, FL
  • NPI 1952441511
  NPPES parent name

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1154483642",
    "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": "941-552-7683",
            "fax_number": "941-552-7520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2967 BEE RIDGE RD",
            "address_2": "SUITE 3",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342397113",
            "telephone_number": "941-929-2369",
            "fax_number": "941-929-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDEWELL HOSPICE & PALLIATIVE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A",
        "authorized_official_last_name": "FLEECE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "941-552-7525"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299991723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "JT8",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "650990800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Journeys HomeCare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Journeys HomeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Ashley Tichenor, DO
• Tidewater Total Mind Care, LLC
• Tidewell Home Health Services
• Tidewell Home Health, LLC
• Tidewell Home Health, LLC
• Tidewell Hospice and Palliative Care
• Tidewell Hospice, Inc.
• Tidewell Hospice, Inc.
• Tidewell Hospice, Inc.
• Gail M Tidmore, CRNA

• Home Health Agency in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.