Organization Active NPI

Pride in-Home Care

  • Point of Service
  • Tampa, FL
National Provider Identifier
1801210281
Registry record updated Aug 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
233299 Issued in FL
Legal business name
PRIDE IN-HOME CARE
Practice address
5007 S Zion St
Tampa, FL 33611-3845
Phone
(813) 368-5109
Fax
(813) 443-2375
NPI assigned
Feb 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2014

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

Authorized official

Name
Mr. George Scott Barrett
Title
Owner
Phone
(813) 368-5109

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 233299 FL Primary

Addresses

Primary practice location

5007 S Zion St
Tampa, FL 33611-3845

Mailing address

3225 S Macdill Ave
Suite 129-183
Tampa, FL 33629-8171
Phone (813) 839-3010

Other identifiers 1

IdentifierTypeStateIssuer
010407100MedicaidFL

National Provider Directory

National Provider Directory

Locations

3225 S Macdill Ave
Ste 129183
Tampa, FL 33629

NPI Registry JSON

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

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409270400000",
    "number": "1801210281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 S MACDILL AVE",
            "address_2": "SUITE 129-183",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336298171",
            "telephone_number": "813-839-3010",
            "fax_number": "813-443-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5007 S ZION ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336113845",
            "telephone_number": "813-368-5109",
            "fax_number": "813-443-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIDE IN-HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-06",
        "last_updated": "2014-08-29",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-368-5109",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "FL",
            "license": "233299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010407100",
            "state": "FL"
        }
    ],
    "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 Aug 29, 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.