Active NPI
Family Soaring
- Homemaker
- Saint Petersburg, FL
National Provider Identifier
1689181208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- Legal business name
- FAMILY SOARING
- Practice address
- 10800 Brighton Bay Blvd NE
Saint Petersburg, FL 33716-3478 - Phone
- (727) 564-7769
- Fax
- (727) 800-5144
- NPI assigned
- Jan 4, 2018
- 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
- Evangela Dillard
- Title
- Ceo
- Phone
- (727) 564-7769
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 7304 | FL | |
| Homemaker | 376J00000X | Primary |
Addresses
Primary practice location
10800 Brighton Bay Blvd NE
Saint Petersburg, FL 33716-3478
Mailing address
10800 Brighton Bay Blvd NE
Saint Petersburg, FL 33716-3478
Phone (727) 564-7769
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1516665600000",
"number": "1689181208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10800 BRIGHTON BAY BLVD NE",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337163478",
"telephone_number": "727-564-7769",
"fax_number": "727-800-5144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10800 BRIGHTON BAY BLVD NE",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337163478",
"telephone_number": "727-564-7769",
"fax_number": "727-800-5144"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY SOARING",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-04",
"last_updated": "2018-01-23",
"status": "A",
"authorized_official_last_name": "DILLARD",
"authorized_official_first_name": "EVANGELA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "727-564-7769"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "FL",
"license": "7304",
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.