Provider Demographics
NPI:1922452465
Name:HEALTH SERVICES INNOVATION, LLC
Entity Type:Organization
Organization Name:HEALTH SERVICES INNOVATION, LLC
Other - Org Name:COMFORCARE HOME CARE-NORTH HILLSBOROUGH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ADA
Authorized Official - Middle Name:
Authorized Official - Last Name:TAPPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-731-1463
Mailing Address - Street 1:21316 LAKE VIENNA DR
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34638-8332
Mailing Address - Country:US
Mailing Address - Phone:813-731-1463
Mailing Address - Fax:
Practice Address - Street 1:13902 N DALE MABRY HWY
Practice Address - Street 2:SUITE 216
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618-2415
Practice Address - Country:US
Practice Address - Phone:813-731-1463
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-21
Last Update Date:2016-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care