Provider Demographics
NPI:1376067199
Name:SARATOGA INITIATIVES, INC
Entity Type:Organization
Organization Name:SARATOGA INITIATIVES, INC
Other - Org Name:HOMEWATCH CAREGIVERS OF NORTHWEST TAMPA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:N
Authorized Official - Last Name:GEORGE
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:813-605-7787
Mailing Address - Street 1:13907 N DALE MABRY HWY STE 206
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33618-2411
Mailing Address - Country:US
Mailing Address - Phone:813-608-7787
Mailing Address - Fax:813-609-3506
Practice Address - Street 1:13907 N DALE MABRY HWY STE 206
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618-2411
Practice Address - Country:US
Practice Address - Phone:813-608-7787
Practice Address - Fax:813-609-3506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299994664251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL299994664OtherHOME HEALTH AGENCY LICENSE