Individual provider Active NPI

Tabitha Larrine Gadson

  • In Home Supportive Care Agency
  • Winter Garden, FL
National Provider Identifier
1326510827
Registry record updated Dec 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Practice address
2008 Curia Rd
Winter Garden, FL 34787-9812
Phone
(813) 810-8887
Fax
(888) 310-3372
NPI assigned
Dec 20, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2018

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X
Registered Nurse 163W00000X RN9302004 FL
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
Adult Companion 372600000X
Homemaker 376J00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2008 Curia Rd
Winter Garden, FL 34787-9812

Mailing address

PO Box 783726
Winter Garden, FL 34778-3726
Phone (813) 810-8887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN9302004FLMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Possibilities, L.L.C. Nursing Care PastSince Jul 25, 2019 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1545264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545868800000",
    "number": "1326510827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 783726",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347783726",
            "telephone_number": "813-810-8887",
            "fax_number": "888-310-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 CURIA RD",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347879812",
            "telephone_number": "813-810-8887",
            "fax_number": "888-310-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADSON",
        "first_name": "TABITHA",
        "middle_name": "LARRINE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-20",
        "last_updated": "2018-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9302004",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2018; 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.