Provider Demographics
NPI:1134776024
Name:OMNIPRESENT CAREGIVERS OF FLORIDA LLC
Entity type:Organization
Organization Name:OMNIPRESENT CAREGIVERS OF FLORIDA LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAKESHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CURRIN
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:727-223-2176
Mailing Address - Street 1:3510 1ST AVE N STE 123
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33713-8416
Mailing Address - Country:US
Mailing Address - Phone:727-739-6668
Mailing Address - Fax:866-425-9297
Practice Address - Street 1:3510 1ST AVE N STE 123
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33713-8416
Practice Address - Country:US
Practice Address - Phone:866-425-9297
Practice Address - Fax:866-425-9297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-24
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL110637400Medicaid
FL235792OtherAHCA
FL30212608OtherAHCA NURSE REGISTRY LICENSE