Individual provider Active NPI

Marcia Hamilton

  • In Home Supportive Care Agency
  • Tampa, FL
National Provider Identifier
1932835444
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
30212356 Issued in FL
Practice address
7402 N 56TH St Ste 100F
Tampa, FL 33617-7746
Phone
(813) 374-8063
Fax
(813) 442-4710
NPI assigned
Jul 27, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 30212356 FL Primary

Addresses

Primary practice location

7402 N 56TH St Ste 100F
Tampa, FL 33617-7746

Mailing address

7402 N 56TH St Ste 100F
Tampa, FL 33617-7746
Phone (813) 374-8063

Other identifiers 1

IdentifierTypeStateIssuer
114017300MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL WWW.elwoodseniorcarellc.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30212356FLMDIn Home Supportive Care Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Elwood Senior Care LLC CurrentSince Jul 31, 2022 Accepting new patients

Locations

7402 N 56th St
Ste 100F
Tampa, FL 33617
Phone (813) 374-8063

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1932835444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7402 N 56TH ST STE 100F",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336177746",
            "telephone_number": "813-374-8063",
            "fax_number": "813-442-4710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7402 N 56TH ST STE 100F",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336177746",
            "telephone_number": "813-374-8063",
            "fax_number": "813-442-4710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "MARCIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "30212356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114017300",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WWW.elwoodseniorcarellc.com",
            "affiliation": "N",
            "address_1": "7402 N 56th St Ste 100F",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336177746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 27, 2022; 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.