Provider Demographics
NPI:1942825351
Name:FLOURISH HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:FLOURISH HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OLATUNBOSUN
Authorized Official - Middle Name:
Authorized Official - Last Name:IBIRONKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-690-4736
Mailing Address - Street 1:12421 N FLORIDA AVE STE 229
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33612-4278
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12421 N FLORIDA AVE STE 229
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-4278
Practice Address - Country:US
Practice Address - Phone:813-690-4736
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-11
Last Update Date:2020-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care