A Plus Alliance Home Care Agency, LLC
Organization Active NPI In Home Supportive Care Agency · Tampa, FL
NPI 1962883371 · NPPES record last updated Apr 12, 2020
Key facts
- NPI
- 1962883371
- Entity type
- Organization (NPI type 2)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- License
- 233771 (FL)
- Legal business name
- A PLUS ALLIANCE HOME CARE AGENCY, LLC
- Practice address
- 1503 South Hwy 301 Suite 13
Tampa, FL 33619 - Phone
- (727) 222-5317
- Fax
- (813) 762-1333
- NPI assigned
- Jun 11, 2015
- Organization subpart
- No
Authorized official
- Name
- Latasha Walters Jackson
- Title
- Executive Director
- Phone
- (727) 222-5317
National Provider Directory
Locations
1503 S US Highway 301
Ste 13
Tampa, FL 33619
Phone (727) 222-5317
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| In Home Supportive Care Agency | 253Z00000X | 233771 | FL | Yes |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X |
Addresses
Primary practice location
1503 South Hwy 301 Suite 13
Tampa, FL 33619
Mailing address
5470 E Busch Blvd Suite 425
Temple Terrace, FL 33617
Phone (727) 222-5317
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 014399800 | Medicaid | FL |
Other names
- Latasha Walters Jackson
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All providers in Tampa, FL · In Home Supportive Care Agency in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.