Organization Active NPI

Quality Home Care of Tampa Bay LLC

  • Home Health Agency
  • Oldsmar, FL
National Provider Identifier
1356715031
Registry record updated Jan 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
QUALITY HOME CARE OF TAMPA BAY LLC
Practice address
120 State St E Ste 105
Oldsmar, FL 34677-3647
Phone
(813) 336-4477
NPI assigned
Nov 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2018

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

Authorized official

Name
Maritza Lopez
Title
President
Phone
(813) 336-4477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

120 State St E Ste 105
Oldsmar, FL 34677-3647

Mailing address

120 State St E Ste 105
Oldsmar, FL 34677-3647
Phone (813) 336-4477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190913000833 FL Part A Provider - Home Health Agency 9931494499 Practice locations: Oldsmar, FL

Home health agency certification: CCN 687075

Legal name
QUALITY HOME CARE OF TAMPA BAY LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 24, 2020
Last certification
Dec 24, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Oct 6, 2015 in FL
Enrollment address
120 State St E
Ste 105
Oldsmar, FL 34677-3647

Care Compare: Home health agency

Medicare Care Compare
Listed as
Quality Home Care of Tampa Bay LLCCCN 687075 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Dec 24, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
10D2112294Quality Home Care of Tampa Bay LLC120 State Street E Ste 105, Oldsmar, FL 34677Certificate of waiverApr 25, 2028

National Provider Directory

National Provider Directory

Locations

120 State St E
Ste 105
Oldsmar, FL 34677
Phone (813) 336-4477

720 Brooker Creek Blvd
Ste 205
Oldsmar, FL 34677
Phone (813) 336-4477

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Martiza Lopez Individual 5% Or Greater Direct Ownership InterestManager Dec 23, 2022 30%
Corporate Officer Dec 23, 2022 30%
W-2 Managing Employee Dec 23, 2022 30%
Hugo Lara Individual 5% Or Greater Direct Ownership Interest Dec 23, 2022 70%
W-2 Managing Employee Dec 23, 2022 70%

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516233600000",
    "number": "1356715031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 STATE ST E STE 105",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346773647",
            "telephone_number": "813-336-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 STATE ST E STE 105",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346773647",
            "telephone_number": "813-336-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY HOME CARE OF TAMPA BAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-18",
        "last_updated": "2018-01-18",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "MARITZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-336-4477"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oldsmar, FL

Sources for this page

Verify at the official NPI Registry.