Active NPI
Greystone Home Healthcare of Greater Tampa Bay LLC
- Home Health Agency
- Tampa, FL
National Provider Identifier
1467874008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 299992484
- Legal business name
- GREYSTONE HOME HEALTHCARE OF GREATER TAMPA BAY LLC
- Doing business as
- Greystone Home Health
- Practice address
- 5421 Beaumont Center Blvd Ste 680
Tampa, FL 33634-5294 - Phone
- (813) 814-4025
- Fax
- (813) 855-9704
- NPI assigned
- Jan 16, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacqueline F. Price
- Title
- Authorized Official
- Phone
- (813) 635-9500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 299992484 | FL | Primary |
Addresses
Primary practice location
5421 Beaumont Center Blvd Ste 680
Tampa, FL 33634-5294
Mailing address
5421 Beaumont Center Blvd.
Suite 680
Tampa, FL 33634
Phone (813) 814-4025
Other practice location 1
13049 W Linebaugh Ave
Suite 101
Tampa, FL 33626-4488
Phone (813) 675-2331
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 299992484 | Other | FL | 299992484-AHCA LICENSE NUMBER |
Other names 1
- Greystone Home Health
National Provider Directory
National Provider DirectoryLocations
139 S Pebble Beach Blvd
Ste 100
Sun City Center, FL 33573
Phone (813) 733-7980
5421 Beaumont Center Blvd
Ste 680
Tampa, FL 33634
Phone (813) 814-1343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1467874008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5421 BEAUMONT CENTER BLVD.",
"address_2": "SUITE 680",
"city": "TAMPA",
"state": "FL",
"postal_code": "33634",
"telephone_number": "813-814-4025",
"fax_number": "813-855-9704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5421 BEAUMONT CENTER BLVD STE 680",
"city": "TAMPA",
"state": "FL",
"postal_code": "336345294",
"telephone_number": "813-814-4025",
"fax_number": "813-855-9704"
}
],
"practiceLocations": [
{
"address_1": "13049 W Linebaugh Ave",
"address_2": "Suite 101",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336264488",
"country_code": "US",
"telephone_number": "813-675-2331",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GREYSTONE HOME HEALTHCARE OF GREATER TAMPA BAY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-16",
"last_updated": "2022-07-21",
"certification_date": "2021-03-16",
"status": "A",
"authorized_official_last_name": "PRICE",
"authorized_official_first_name": "JACQUELINE",
"authorized_official_middle_name": "F.",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "813-635-9500"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "299992484",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "299992484-AHCA LICENSE NUMBER",
"identifier": "299992484",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Greystone Home Health",
"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 Jul 21, 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.