Provider Demographics
NPI:1396892006
Name:HOME SAFE, LLC
Entity type:Organization
Organization Name:HOME SAFE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GLENN
Authorized Official - Middle Name:J
Authorized Official - Last Name:GULLO
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:813-890-8809
Mailing Address - Street 1:5914 JET PORT INDUSTRIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33634-5158
Mailing Address - Country:US
Mailing Address - Phone:813-890-8809
Mailing Address - Fax:813-890-8819
Practice Address - Street 1:5914 JET PORT INDUSTRIAL BLVD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33634-5158
Practice Address - Country:US
Practice Address - Phone:813-890-8809
Practice Address - Fax:813-890-8819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1313117332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies