Gulf Coast Nurse Register, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

30211667 Issued in FL

Legal business name

GULF COAST NURSE REGISTER, LLC

Doing business as

Value Care at Home Tampa

Practice address

1753 W Fletcher Ave
Tampa, FL 33612-1820

Phone

(813) 514-2600

Fax

(813) 514-2500

NPI assigned

Feb 3, 2014

Last updated

Feb 3, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Carolyn Cann

Title

Owner

Phone

(813) 514-2600

Specialties & licenses 1

Addresses

Other names 1

• Value Care at Home Tampa Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1391385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391385600000",
    "number": "1700209343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1753 W FLETCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336121820",
            "telephone_number": "813-514-2600",
            "fax_number": "813-514-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1753 W FLETCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336121820",
            "telephone_number": "813-514-2600",
            "fax_number": "813-514-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST NURSE REGISTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-03",
        "last_updated": "2014-02-03",
        "status": "A",
        "authorized_official_last_name": "CANN",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-514-2600",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "30211667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Value Care at Home Tampa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Tampa, FL
• Providers in Tampa, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; 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.