NPIMap

Organization Active NPI

Tidewell Home Health Services

  • Home Health Agency
  • Sarasota, FL
National Provider Identifier
1669794715
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
5955 Rand Blvd
Sarasota, FL 34238-5160
Phone
(941) 552-7500
Fax
(941) 926-4883
NPI assigned
Feb 17, 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
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

5955 Rand Blvd
Sarasota, FL 34238-5160

Mailing address

5955 Rand Blvd
Sarasota, FL 34238-5160
Phone (941) 552-7500

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.

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": "1266364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1669794715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5955 RAND BLVD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342385160",
            "telephone_number": "941-552-7500",
            "fax_number": "941-926-4883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5955 RAND BLVD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342385160",
            "telephone_number": "941-552-7500",
            "fax_number": "941-926-4883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDEWELL HOME HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TIDEWELL HEALTH SERVICES, LLC",
        "enumeration_date": "2010-02-17",
        "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_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 Sarasota, 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.