Provider Demographics
NPI:1538657580
Name:UPLIFT CARE-GIVING SERVICE, LLC.
Entity Type:Organization
Organization Name:UPLIFT CARE-GIVING SERVICE, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:POMPEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-770-4042
Mailing Address - Street 1:1026 W HILLSBOROUGH AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33603-1312
Mailing Address - Country:US
Mailing Address - Phone:813-770-4042
Mailing Address - Fax:
Practice Address - Street 1:1026 W HILLSBOROUGH AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33603-1312
Practice Address - Country:US
Practice Address - Phone:813-770-4042
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-25
Last Update Date:2019-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL016139000Medicaid