Organization Active NPI

Quality of Life Home Health Services of Hillsborough, Inc

  • Home Health Agency
  • Tampa, FL
National Provider Identifier
1427175306
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299991075 Issued in FL
Legal business name
QUALITY OF LIFE HOME HEALTH SERVICES OF HILLSBOROUGH, INC
Practice address
2919 Swann Ave
Suite 400C
Tampa, FL 33609
Phone
(813) 872-8103
Fax
(727) 547-0942
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Mr. James E. Heenan
Title
Chief Financial Officer
Phone
(727) 546-9692

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299991075 FL Primary

Addresses

Primary practice location

2919 Swann Ave
Suite 400C
Tampa, FL 33609

Mailing address

7235 Bryan Dairy Rd
Largo, FL 33777
Phone (727) 546-9692

Other identifiers 2

IdentifierTypeStateIssuer
E9183OtherFLCLIA PROVIDER NUMBER
650915100MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1427175306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7235 BRYAN DAIRY RD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "33777",
            "telephone_number": "727-546-9692",
            "fax_number": "727-547-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 SWANN AVE",
            "address_2": "SUITE 400C",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33609",
            "telephone_number": "813-872-8103",
            "fax_number": "727-547-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY OF LIFE HOME HEALTH SERVICES OF HILLSBOROUGH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "HEENAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "727-546-9692",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299991075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA PROVIDER NUMBER",
            "identifier": "E9183",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "650915100",
            "state": "FL"
        }
    ],
    "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 Jul 2, 2008; 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.