Organization Active NPI

Footprints Home Care Services, LLC

  • Assisted Living Facility
  • Spring Hill, FL
National Provider Identifier
1679092985
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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

Updated by the provider on Nov 1, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
679403MedicaidFL
PENDINGOtherFLAHCA
11920OtherFLAHCA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.