Provider Demographics
NPI:1275298507
Name:QUALITY CAREGIVERS OF TAMPA LLC
Entity Type:Organization
Organization Name:QUALITY CAREGIVERS OF TAMPA LLC
Other - Org Name:THE LEGACY CARE AT HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:EDNA
Authorized Official - Middle Name:M
Authorized Official - Last Name:GONZALEZ SOTO
Authorized Official - Suffix:
Authorized Official - Credentials:ESQ
Authorized Official - Phone:813-255-8622
Mailing Address - Street 1:202 N HOWARD AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33606
Mailing Address - Country:US
Mailing Address - Phone:813-488-5804
Mailing Address - Fax:813-315-6563
Practice Address - Street 1:202 N HOWARD AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606
Practice Address - Country:US
Practice Address - Phone:813-488-5804
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-02
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care