Organization Active NPI

Central Senior Home Care Corp

  • Home Health Agency
  • Tampa, FL
National Provider Identifier
1982461034
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CENTRAL SENIOR HOME CARE CORP
Practice address
2701 W Busch Blvd Ste 104
Tampa, FL 33618-4577
Phone
(813) 317-5677
Fax
(813) 200-1210
NPI assigned
Mar 5, 2024
Last updated
Mar 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Authorized official

Name
Carlos A. Diaz
Title
President
Phone
(813) 802-0640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2701 W Busch Blvd Ste 104
Tampa, FL 33618-4577

Mailing address

2701 W Busch Blvd Ste 104
Tampa, FL 33618-4577
Phone (813) 317-5677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241028000491 FL Part A Provider - Home Health Agency 3476086604 Practice locations: Tampa, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982461034. Details of each certification follow.

Home health agency certification: CCN 687431

Legal name
CENTRAL SENIOR HOME CARE CORP
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 5, 2025
Last certification
Aug 27, 2025
Organization structure
CorporationProprietary
Enrollment address
2701 W Busch Blvd
Ste 104
Tampa, FL 33618-4577
HHA Branch

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2306989Central Senior Home Care Corp2701 W Busch Blvd - Ste 104, Tampa, FL 33618Certificate of waiverJun 27, 2028

National Provider Directory

National Provider Directory

Locations

2701 W Busch Blvd
Ste 104
Tampa, FL 33618
Phone (813) 317-5677

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Carlos Diaz Individual 5% Or Greater Direct Ownership Interest Mar 15, 2024 100%
Corporate Director Mar 15, 2024
W-2 Managing EmployeeFinancial Officer/Owner Mar 15, 2024

NPI Registry JSON

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1982461034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 W BUSCH BLVD STE 104",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336184577",
            "telephone_number": "813-317-5677",
            "fax_number": "813-200-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 W BUSCH BLVD STE 104",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336184577",
            "telephone_number": "813-317-5677",
            "fax_number": "813-200-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL SENIOR HOME CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-802-0640"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.