Provider Demographics
NPI:1609143700
Name:TAMPA BAY CARES LLC
Entity Type:Organization
Organization Name:TAMPA BAY CARES LLC
Other - Org Name:SENIOR HELPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:GIRALDO
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:863-686-7333
Mailing Address - Street 1:2515 TROY AVE
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33803-2960
Mailing Address - Country:US
Mailing Address - Phone:863-686-7333
Mailing Address - Fax:863-686-7336
Practice Address - Street 1:2515 TROY AVE
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33803-2960
Practice Address - Country:US
Practice Address - Phone:863-686-7333
Practice Address - Fax:863-686-7336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHHA299993990251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL001731500Medicaid