Organization Active NPI

Homemd Housecall Services Florida

  • Gerontology Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1417672197
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
Legal business name
HOMEMD HOUSECALL SERVICES FLORIDA
Doing business as
HomeMD Housecall Services
Practice address
812 W Dr Martin Luther King Jr Blvd
Tampa, FL 33603-3338
Phone
(855) 466-3631
Fax
(810) 244-0226
NPI assigned
Oct 5, 2022
Organization subpart
Yes
Parent organization
TRANSITIONAL CARE SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Authorized official

Name
Jim Tougas, NP
Title
Ceo
Phone
(734) 444-9858

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X
Gerontology Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LG0600X Primary

Addresses

Primary practice location

812 W Dr Martin Luther King Jr Blvd
Tampa, FL 33603-3338

Mailing address

5758 Cooley Lake Rd
Waterford, MI 48327-3073
Phone (855) 466-3631

Other names 1

  • HomeMD Housecall Services Doing business as

National Provider Directory

National Provider Directory
Part of
Transitional Care Srvcs LLC

Locations

812 W Dr Martin Luther King Jr Blvd
Tampa, FL 33603
Phone (855) 466-3631

NPI Registry JSON

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1417672197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5758 COOLEY LAKE RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483273073",
            "telephone_number": "855-466-3631",
            "fax_number": "810-244-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 W DR MARTIN LUTHER KING JR BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336033338",
            "telephone_number": "855-466-3631",
            "fax_number": "810-244-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMEMD HOUSECALL SERVICES FLORIDA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRANSITIONAL CARE SERVICES, LLC",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "TOUGAS",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "734-444-9858",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HomeMD Housecall Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 5, 2022; 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.