Organization Active NPI

Sure

  • Home Health Agency
  • Tampa, FL
National Provider Identifier
1306021837
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
229966 Issued in FL
Legal business name
SURE
Practice address
1703 E 26TH Ave Unit B
Tampa, FL 33605-1180
Phone
(813) 404-5618
Fax
(813) 247-1421
NPI assigned
Jan 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Ms. Lashun D Washington
Title
Owner
Phone
(813) 404-5618

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 229966 FL Primary

Addresses

Primary practice location

1703 E 26TH Ave Unit B
Tampa, FL 33605-1180

Mailing address

1703 E 26TH Ave Unit B
Tampa, FL 33605-1180
Phone (813) 404-5618

Other identifiers 2

IdentifierTypeStateIssuer
693164298MedicaidFL
693164296MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1306021837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 E 26TH AVE UNIT B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336051180",
            "telephone_number": "813-404-5618",
            "fax_number": "813-247-1421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 E 26TH AVE UNIT B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336051180",
            "telephone_number": "813-404-5618",
            "fax_number": "813-247-1421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "LASHUN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-404-5618",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "229966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "693164298",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "693164296",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.