Organization Active NPI

Gulfside Hospice of Hillsborough LLC

  • Community Based Hospice Care Agency
  • Brandon, FL
National Provider Identifier
1184432049
Registry record updated Dec 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
GULFSIDE HOSPICE OF HILLSBOROUGH LLC
Practice address
437 Lithia Pinecrest Rd
Brandon, FL 33511-6138
Phone
(813) 501-8201
NPI assigned
Dec 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2024

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

Authorized official

Name
Allison E Maughn
Title
Chief Financial Officer
Phone
(813) 501-8201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

437 Lithia Pinecrest Rd
Brandon, FL 33511-6138

Mailing address

2061 Collier Pkwy
Land O Lakes, FL 34639-5202
Phone (813) 501-8201

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
10D2322189Gulfside Hospice of Hillsborough LLC437 Lithia Pinecrest Road, Brandon, FL 33511Certificate of waiverApr 15, 2027

National Provider Directory

National Provider Directory

Locations

437 Lithia Pinecrest Rd
Brandon, FL 33511

NPI Registry JSON

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

{
    "created_epoch": "1734998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734998400000",
    "number": "1184432049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2061 COLLIER PKWY",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346395202",
            "telephone_number": "813-501-8201",
            "fax_number": "813-428-5923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 LITHIA PINECREST RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116138",
            "telephone_number": "813-501-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULFSIDE HOSPICE OF HILLSBOROUGH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-24",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-24",
        "status": "A",
        "authorized_official_last_name": "MAUGHN",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "813-501-8201"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.