Active NPI
Footprints Home Care Services, LLC
- Assisted Living Facility
- Spring Hill, FL
National Provider Identifier
1679092985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- FOOTPRINTS HOME CARE SERVICES, LLC
- Practice address
- 2310 Whitewood Ave
Spring Hill, FL 34609-5061 - Phone
- (813) 345-7067
- NPI assigned
- Sep 18, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yvonne Lekelefac
- Title
- Member
- Phone
- (260) 579-6648
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Developmental Disabilities Clinic/Center | 261QD1600X | |||
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
2310 Whitewood Ave
Spring Hill, FL 34609-5061
Mailing address
35324 Sr 54
Zephyrhills, FL 33541-1942
Phone (813) 395-5269
Other practice location 1
35324 Sr 54
Zephyrhills, FL 33541-1942
Phone (813) 395-5269
Other practice location 2
14355 Highgrove Rd
Spring Hill, FL 34609-8605
Phone (813) 345-7067
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 679403 | Medicaid | FL | |
| PENDING | Other | FL | AHCA |
| 11920 | Other | FL | AHCA |
National Provider Directory
National Provider DirectoryLocations
35324 Pure Water Way
Zephyrhills, FL 33541
Phone (813) 395-5269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698796800000",
"number": "1679092985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35324 SR 54",
"city": "ZEPHYRHILLS",
"state": "FL",
"postal_code": "335411942",
"telephone_number": "813-395-5269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2310 WHITEWOOD AVE",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346095061",
"telephone_number": "813-345-7067"
}
],
"practiceLocations": [
{
"address_1": "35324 SR 54",
"address_purpose": "LOCATION",
"city": "Zephyrhills",
"state": "FL",
"postal_code": "335411942",
"country_code": "US",
"telephone_number": "813-395-5269",
"fax_number": "813-395-5987",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14355 Highgrove Rd",
"address_purpose": "LOCATION",
"city": "Spring Hill",
"state": "FL",
"postal_code": "346098605",
"country_code": "US",
"telephone_number": "813-345-7067",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "FOOTPRINTS HOME CARE SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-18",
"last_updated": "2023-11-01",
"certification_date": "2023-11-01",
"status": "A",
"authorized_official_last_name": "LEKELEFAC",
"authorized_official_first_name": "YVONNE",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "260-579-6648"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "679403",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCA",
"identifier": "PENDING",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCA",
"identifier": "11920",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spring Hill, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.