Provider Demographics
NPI:1598409278
Name:STRENGTHENING ALL GIFTS OF EXCELLENCE LLC
Entity Type:Organization
Organization Name:STRENGTHENING ALL GIFTS OF EXCELLENCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TENISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-541-7507
Mailing Address - Street 1:7510 BRUNSON CIR
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20155-4912
Mailing Address - Country:US
Mailing Address - Phone:800-541-7507
Mailing Address - Fax:
Practice Address - Street 1:3180 JADE TREE PT
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-5277
Practice Address - Country:US
Practice Address - Phone:800-541-7507
Practice Address - Fax:800-541-7507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-27
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL113835300Medicaid