Organization Active NPI

Life Long Home Care Corp

  • Attendant Care Provider
  • Tampa, FL
National Provider Identifier
1942898481
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Attendant Care ProviderTaxonomy code 3747A0650X
Legal business name
LIFE LONG HOME CARE CORP
Practice address
3105 W Waters Ave Ste 309
Tampa, FL 33614-2872
Phone
(813) 843-0022
NPI assigned
Jan 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Authorized official

Name
Mrs. Damaris Lopez
Title
President
Phone
(813) 843-0022

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Attendant Care ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 3747A0650X Primary

Addresses

Primary practice location

3105 W Waters Ave Ste 309
Tampa, FL 33614-2872

Mailing address

3105 W Waters Ave Ste 309
Tampa, FL 33614-2872
Phone (813) 843-0022

National Provider Directory

National Provider Directory

Locations

3105 W Waters Ave
Ste 309
Tampa, FL 33614
Phone (813) 843-0022

5223 Ehrlich Rd
Ste C2
Tampa, FL 33624

NPI Registry JSON

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

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636329600000",
    "number": "1942898481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 W WATERS AVE STE 309",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142872",
            "telephone_number": "813-843-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 W WATERS AVE STE 309",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142872",
            "telephone_number": "813-843-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE LONG HOME CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-08",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "DAMARIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-843-0022",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "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 Nov 8, 2021; 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.