Provider Demographics
NPI:1437447166
Name:SEVA TAMPA LLC
Entity Type:Organization
Organization Name:SEVA TAMPA LLC
Other - Org Name:SEVA HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LIJU
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-765-9856
Mailing Address - Street 1:10006 CROSS CREEK BLVD
Mailing Address - Street 2:434
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-2595
Mailing Address - Country:US
Mailing Address - Phone:813-765-9856
Mailing Address - Fax:813-489-5911
Practice Address - Street 1:10006 CROSS CREEK BLVD
Practice Address - Street 2:434
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-2595
Practice Address - Country:US
Practice Address - Phone:813-765-9856
Practice Address - Fax:813-489-5911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-15
Last Update Date:2011-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health