Ageless Placements East Inc
Organization Active NPI In Home Supportive Care Agency · Brandon, FL
NPI 1407154164 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1407154164
- Entity type
- Organization (NPI type 2)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Legal business name
- AGELESS PLACEMENTS EAST INC
- Practice address
- 710 Oakfield Dr Ste 135
Brandon, FL 33511-4931 - Phone
- (813) 662-2562
- Fax
- (813) 655-2625
- NPI assigned
- Mar 4, 2011
- Organization subpart
- No
Authorized official
- Name
- Mrs. Dierdre Janine Johncox
- Title
- Cfo
- Phone
- (813) 662-2562
National Provider Directory
Locations
710 Oakfield Dr
Ste 135
Brandon, FL 33511
Phone (813) 662-2562
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | FL | Yes |
Addresses
Primary practice location
710 Oakfield Dr Ste 135
Brandon, FL 33511-4931
Mailing address
710 Oakfield Dr Ste 135
Brandon, FL 33511-4931
Phone (813) 662-2562
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003913100 | Medicaid | FL |
Other providers in Brandon, FL
- Affirming Therapy LLC
- Michelle Afonso
- After Hours Pediatrics, Inc.
- Sanjay Agarwal
- Bolaji A Agbede
- Joanne Zeidan Agil
- Aging Together Inc.
- Carolyn Elaine Agnew
- Katlyn Megan Agosta
- Natalie Aguilera
All providers in Brandon, FL · In Home Supportive Care Agency in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.