Provider Demographics
NPI:1639495328
Name:ETAIROS HEALTH, INC
Entity Type:Organization
Organization Name:ETAIROS HEALTH, INC
Other - Org Name:UTOPIA HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OF BILLING AND REIMBURSEMENT
Authorized Official - Prefix:
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:
Authorized Official - Last Name:RAGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-723-7532
Mailing Address - Street 1:13787 BELCHER RD S STE 220
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33771-4065
Mailing Address - Country:US
Mailing Address - Phone:727-723-7532
Mailing Address - Fax:727-797-4733
Practice Address - Street 1:4100 W KENNEDY BLVD STE 306
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-2290
Practice Address - Country:US
Practice Address - Phone:813-639-1915
Practice Address - Fax:813-639-1814
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-20
Last Update Date:2022-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHHA299991429251E00000X
253Z00000X, 3747A0650X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL10-9428OtherHOME HEALTH AGENCY CMS CERTIFICATION NUMBER