Organization Active NPI

S & S Home Care Service LLC

  • Home Health Agency
  • Tampa, FL
National Provider Identifier
1356158646
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
S & S HOME CARE SERVICE LLC
Practice address
701 S Howard Ave Ste 103
Tampa, FL 33606-2473
Phone
(937) 789-3446
NPI assigned
Dec 11, 2024
Last updated
Dec 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Authorized official

Name
Mazen ShaqraNPI 1497297030
Title
President
Phone
(937) 789-3446

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Homemaker 376J00000X

Addresses

Primary practice location

701 S Howard Ave Ste 103
Tampa, FL 33606-2473

Mailing address

701 S Howard Ave Ste 103
Tampa, FL 33606-2473
Phone (937) 789-3446

National Provider Directory

National Provider Directory

Locations

701 S Howard Ave
Ste 103
Tampa, FL 33606
Phone (937) 789-3446

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1733875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1356158646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 S HOWARD AVE STE 103",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062473",
            "telephone_number": "937-789-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S HOWARD AVE STE 103",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062473",
            "telephone_number": "937-789-3446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S & S HOME CARE SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-11",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "SHAQRA",
        "authorized_official_first_name": "MAZEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-789-3446"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Dec 11, 2024; 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.