NPIMap

Organization Active NPI

Instruments for Hope LLC

  • Home Health Agency
  • Largo, FL
National Provider Identifier
1417417940
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
INSTRUMENTS FOR HOPE LLC
Practice address
2600 E Bay Dr Ste 205
Largo, FL 33771-2487
Phone
(727) 204-4781
NPI assigned
Mar 21, 2019
Last updated
Jun 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Authorized official

Name
Danielle Marcum
Title
Owner
Phone
(727) 204-4781

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary
Respite Care 385H00000X NU
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X NU
Child Physical Disabilities Respite Care 385HR2065X NU
In Home Supportive Care Agency 253Z00000X NU

Addresses

Primary practice location

2600 E Bay Dr Ste 205
Largo, FL 33771-2487

Mailing address

2600 E Bay Dr Ste 205
Largo, FL 33771-2487
Phone (727) 204-4781

Other identifiers 1

IdentifierTypeStateIssuer
101371500MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210610002838 FL Part A Provider - Home Health Agency 2567862667 Practice locations: Largo, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1417417940. Details of each certification follow.

Home health agency certification: CCN 687127

Legal name
INSTRUMENTS FOR HOPE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 26, 2021
Last certification
Aug 10, 2021
Organization structure
LLCProprietary
Incorporated
Apr 18, 2018 in FL
Enrollment address
2600 E Bay Dr
Ste 205
Largo, FL 33771-2487

Care Compare: Home health agency

Medicare Care Compare
Listed as
Instruments for Hope LLCCCN 687127 · All quality measures
Overall star rating
2 of 5
Ownership
-
Certified
Aug 26, 2021
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

2600 E Bay Dr
Ste 205
Largo, FL 33771
Phone (727) 204-4781

2600 E Bay Dr
Ste 210
Largo, FL 33771

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

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
Danielle Marcum Individual 5% Or Greater Direct Ownership Interest Apr 18, 2018 50%
Corporate Director Apr 18, 2018
W-2 Managing Employee Apr 18, 2018
Wayne Pete Individual 5% Or Greater Direct Ownership Interest Apr 18, 2018 50%
Corporate Director Apr 18, 2018
W-2 Managing Employee Apr 18, 2018

Practitioners & affiliated clinicians

Affiliated clinicians 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623283200000",
    "number": "1417417940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 E BAY DR STE 205",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337712487",
            "telephone_number": "727-204-4781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 E BAY DR STE 205",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337712487",
            "telephone_number": "727-204-4781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTRUMENTS FOR HOPE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-21",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A",
        "authorized_official_last_name": "MARCUM",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-204-4781"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101371500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.