Organization Active NPI

Vidamed Home Healthcare LLC

  • In Home Supportive Care Agency
  • Tampa, FL
National Provider Identifier
1851211395
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
VIDAMED HOME HEALTHCARE LLC
Practice address
4700 N Habana Ave Ste 501
Tampa, FL 33614-7120
Phone
(813) 877-7033
NPI assigned
Jul 16, 2026
Last updated
Jul 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Authorized official

Name
Lisandra Macias
Title
Owner
Phone
(813) 352-0131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

4700 N Habana Ave Ste 501
Tampa, FL 33614-7120

Mailing address

4700 N Habana Ave Ste 501
Tampa, FL 33614-7120

National Provider Directory

National Provider Directory

Locations

4700 N Habana Ave
Ste 501
Tampa, FL 33614
Phone (609) 977-0604

NPI Registry JSON

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

{
    "created_epoch": "1784160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1851211395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 N HABANA AVE STE 501",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 N HABANA AVE STE 501",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147120",
            "telephone_number": "813-877-7033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDAMED HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-16",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "MACIAS",
        "authorized_official_first_name": "LISANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-352-0131"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "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 Jul 16, 2026; 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.