NPIMap

Organization Active NPI

Tidewell Home Health Services

  • Home Health Agency
  • Bradenton, FL
National Provider Identifier
1578894788
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
TIDEWELL HOME HEALTH SERVICES
Practice address
3355 26TH St W
Bradenton, FL 34205-3607
Phone
(941) 782-4900
Fax
(941) 739-8937
NPI assigned
Jan 28, 2010
Organization subpart
Yes
Parent organization
TIDEWELL HEALTH SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Authorized official

Name
Mrs. Marge Maisto, RN, MA, MS
Title
President/Ceo
Phone
(941) 552-7500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3355 26TH St W
Bradenton, FL 34205-3607

Mailing address

3355 26TH St W
Bradenton, FL 34205-3607
Phone (941) 782-4900

National Provider Directory

National Provider Directory
Tax ID family
Connexis Medical SVCS LLC3 organizations share this tax ID, including this one
Part of
Connexis Medical SVCS LLC

Other organizations with this tax ID 2

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

Locations

3355 26th St W
Bradenton, FL 34205
Phone (941) 782-4900

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1578894788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 26TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342053607",
            "telephone_number": "941-782-4900",
            "fax_number": "941-739-8937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 26TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342053607",
            "telephone_number": "941-782-4900",
            "fax_number": "941-739-8937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDEWELL HOME HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TIDEWELL HEALTH SERVICES, LLC",
        "enumeration_date": "2010-01-28",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A",
        "authorized_official_last_name": "MAISTO",
        "authorized_official_first_name": "MARGE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "941-552-7500",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, MA, MS"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.