Provider Demographics
NPI:1265607345
Name:A&Y HOME HEALTH OF TAMPA CORP
Entity type:Organization
Organization Name:A&Y HOME HEALTH OF TAMPA CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ADRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-876-4200
Mailing Address - Street 1:5101 N HABANA AVE
Mailing Address - Street 2:SUITE#B
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-6902
Mailing Address - Country:US
Mailing Address - Phone:813-876-4200
Mailing Address - Fax:813-876-0012
Practice Address - Street 1:5101 N HABANA AVE
Practice Address - Street 2:SUITE#B
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-6902
Practice Address - Country:US
Practice Address - Phone:813-876-4200
Practice Address - Fax:813-876-0012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-29
Last Update Date:2015-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299993093251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health