Elder Services of Central Florida, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

299994676 Issued in FL

Legal business name

ELDER SERVICES OF CENTRAL FLORIDA, INC

Practice address

17901 Hunting Bow Cir Ste 101
Lutz, FL 33558

Phone

(813) 920-4440

Fax

(863) 644-8077

NPI assigned

May 21, 2018

Organization subpart

Yes

Parent organization

ELDER SERVICES OF CENTRAL FLORIDA, INCAs reported in NPPES

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

Authorized official

Name

Tracy Dean Kelley

Title

Ceo

Phone

(863) 701-9100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Comfort Keepers Doing business as

Part of

Elder Services of Central Florida Inc

Locations

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527552000000",
    "number": "1780175273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 S FLORIDA AVE STE 201",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338031183",
            "telephone_number": "863-701-9100",
            "fax_number": "863-644-8077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17901 HUNTING BOW CIR STE 101",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "33558",
            "telephone_number": "813-920-4440",
            "fax_number": "863-644-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDER SERVICES OF CENTRAL FLORIDA, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELDER SERVICES OF CENTRAL FLORIDA, INC",
        "enumeration_date": "2018-05-21",
        "last_updated": "2018-05-29",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "863-701-9100"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299994676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000765900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Keepers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Lutz, FL
• Providers in Lutz, 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 May 29, 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.