Organization Active NPI

Family Soaring

  • Homemaker
  • Saint Petersburg, FL
National Provider Identifier
1689181208
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
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

Updated by the provider on Jan 23, 2018

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)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 7304 FL
HomemakerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.