Active NPI
Marcia Hamilton
- In Home Supportive Care Agency
- Tampa, FL
National Provider Identifier
1932835444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 30212356
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114017300 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 30212356 | FL | MD | In Home Supportive Care Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elwood Senior Care LLC | Current | 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.
-
- Home Health Agency
- Tampa, FL
- NPI 1740938364
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.