Organization Active NPI

Greystone Home Healthcare of Greater Tampa Bay LLC

  • Home Health Agency
  • Tampa, FL
National Provider Identifier
1467874008
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299992484 Issued in FL
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

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
299992484OtherFL299992484-AHCA LICENSE NUMBER

Other names 1

  • Greystone Home Health Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.