Organization Active NPI

Concordia of Florida, Inc.

  • In Home Supportive Care Agency
  • Tampa, FL
National Provider Identifier
1477058220
Registry record updated Mar 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
299991926 Issued in FL
Legal business name
CONCORDIA OF FLORIDA, INC.
Practice address
4100 E Fletcher Ave
Tampa, FL 33613-4864
Phone
(813) 632-2382
Fax
(813) 632-2380
NPI assigned
Mar 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2018

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

Authorized official

Name
Mr. Brian Hortert, AO
Title
Chief Operating Officer
Phone
(724) 316-9909

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299991926 FL
In Home Supportive Care Agency 253Z00000X 299991926 FL Primary

Addresses

Primary practice location

4100 E Fletcher Ave
Tampa, FL 33613-4864

Mailing address

134 Marwood Rd
Cabot, PA 16023-2245
Phone (724) 352-1571

Other names 1

  • Concordia Home Health of Tampa Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Concordia Home Health of Tampa2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522022400000",
    "number": "1477058220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 MARWOOD RD",
            "city": "CABOT",
            "state": "PA",
            "postal_code": "160232245",
            "telephone_number": "724-352-1571",
            "fax_number": "724-352-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 E FLETCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134864",
            "telephone_number": "813-632-2382",
            "fax_number": "813-632-2380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORDIA OF FLORIDA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-26",
        "last_updated": "2018-03-26",
        "status": "A",
        "authorized_official_last_name": "HORTERT",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "724-316-9909",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "AO"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299991926",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "299991926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concordia Home Health of Tampa",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Concordia Home Health of Tampa",
            "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 Mar 26, 2018; 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.