Provider Demographics
NPI:1619383015
Name:ELINA COLON-PENA CARE MANGER SERVICES
Entity Type:Organization
Organization Name:ELINA COLON-PENA CARE MANGER SERVICES
Other - Org Name:CARE MANAGER SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:COLON-PENA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-846-5252
Mailing Address - Street 1:5700 MEMORIAL HWY STE 212D
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33615-5258
Mailing Address - Country:US
Mailing Address - Phone:813-846-5252
Mailing Address - Fax:
Practice Address - Street 1:6722 GRAND BAHAMA DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33615-5800
Practice Address - Country:US
Practice Address - Phone:813-846-5252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-07
Last Update Date:2014-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251G00000XAgenciesHospice Care, Community Based
No251K00000XAgenciesPublic Health or Welfare
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care