Organization Active NPI

Top Knotch Care LLC

  • In Home Supportive Care Agency
  • Tampa, FL
National Provider Identifier
1619575701
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
TOP KNOTCH CARE LLC
Practice address
5340 W Kennedy Blvd Unit 436
Tampa, FL 33609-2434
Phone
(727) 564-1768
NPI assigned
Oct 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Authorized official

Name
Calvin Eugene Glover
Title
Owner Operator
Phone
(727) 564-1768

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

5340 W Kennedy Blvd Unit 436
Tampa, FL 33609-2434

Mailing address

5340 W Kennedy Blvd Unit 436
Tampa, FL 33609-2434
Phone (727) 564-1768

Other identifiers 1

IdentifierTypeStateIssuer
693546096MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Top Knotch Care LLC2 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": "1602460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602460800000",
    "number": "1619575701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5340 W KENNEDY BLVD UNIT 436",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092434",
            "telephone_number": "727-564-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 W KENNEDY BLVD UNIT 436",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092434",
            "telephone_number": "727-564-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOP KNOTCH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "727-564-1768"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "693546096",
            "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 Oct 12, 2020; 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.