Organization Active NPI

Homeland Wellness LLC

  • Corporate Health Clinic/Center
  • Tampa, FL
National Provider Identifier
1760704308
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corporate Health Clinic/CenterTaxonomy code 261QC1800X
Legal business name
HOMELAND WELLNESS LLC
Practice address
6601 Memorial Hwy
Suite 219
Tampa, FL 33615-4501
Phone
(813) 433-1669
Fax
(813) 433-1724
NPI assigned
Feb 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

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

Authorized official

Name
Ms. Sharon Marie Gray
Title
Managing Member/Ceo
Phone
(813) 433-1669

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corporate Health Clinic/Center 261QC1800X Primary

Addresses

Primary practice location

6601 Memorial Hwy
Suite 219
Tampa, FL 33615-4501

Mailing address

6601 Memorial Hwy
Suite 219
Tampa, FL 33615-4501
Phone (813) 433-1669

National Provider Directory

National Provider Directory

Locations

6601 Memorial Hwy
Ste 219
Tampa, FL 33615
Phone (727) 353-3446

6601 Memorial Hwy
#219
Tampa, FL 33615
Phone (813) 433-1669

NPI Registry JSON

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

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269302400000",
    "number": "1760704308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 MEMORIAL HWY",
            "address_2": "SUITE 219",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336154501",
            "telephone_number": "813-433-1669",
            "fax_number": "813-433-1724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 MEMORIAL HWY",
            "address_2": "SUITE 219",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336154501",
            "telephone_number": "813-433-1669",
            "fax_number": "813-433-1724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMELAND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-24",
        "last_updated": "2010-03-23",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MANAGING MEMBER/CEO",
        "authorized_official_telephone_number": "813-433-1669",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; 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.