Provider Demographics
NPI:1568247484
Name:EXPERTISE HOME CARE TAMPA LLC
Entity Type:Organization
Organization Name:EXPERTISE HOME CARE TAMPA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RODELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:ERDAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-384-1628
Mailing Address - Street 1:2313 W ARCH ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-5303
Mailing Address - Country:US
Mailing Address - Phone:813-384-1628
Mailing Address - Fax:813-374-4557
Practice Address - Street 1:3007 W CYPRESS ST STE 4
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-1600
Practice Address - Country:US
Practice Address - Phone:813-321-7991
Practice Address - Fax:813-374-4557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-29
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care