Active NPI
Gulfside Hospice of Hillsborough LLC
- Community Based Hospice Care Agency
- Brandon, FL
National Provider Identifier
1184432049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2322189 | Gulfside Hospice of Hillsborough LLC | Certificate of waiver | Apr 15, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.