Provider Demographics
NPI:1740584937
Name:HOME FORCE GROUP INC
Entity Type:Organization
Organization Name:HOME FORCE GROUP INC
Other - Org Name:WELCOME HOME ALF
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:OLAF
Authorized Official - Middle Name:MUHAMMUD
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-966-4954
Mailing Address - Street 1:8870 N HIMES AVE
Mailing Address - Street 2:SUITE 334
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-1627
Mailing Address - Country:US
Mailing Address - Phone:813-966-4954
Mailing Address - Fax:
Practice Address - Street 1:1905 E 137TH AVE
Practice Address - Street 2:UNIT A
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33613-4308
Practice Address - Country:US
Practice Address - Phone:813-966-4954
Practice Address - Fax:813-972-1314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-02
Last Update Date:2011-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL105023104A0625X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL142249900Medicaid