Provider Demographics
NPI:1083377733
Name:WARREN-HESTER HOME CARE AGENCY
Entity Type:Organization
Organization Name:WARREN-HESTER HOME CARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DORIS
Authorized Official - Middle Name:LYNNETTE
Authorized Official - Last Name:WARREN-HESTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-520-2058
Mailing Address - Street 1:1127 22ND ST S STE B
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33712-2256
Mailing Address - Country:US
Mailing Address - Phone:727-520-2058
Mailing Address - Fax:
Practice Address - Street 1:1127 22ND ST S
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33712-2256
Practice Address - Country:US
Practice Address - Phone:727-520-2058
Practice Address - Fax:727-280-5732
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ANOINTED ELDER CONCIERGE H C SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-10-20
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Single Specialty
No174200000XOther Service ProvidersMeals
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing CareGroup - Single Specialty
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL102767600Medicaid