Provider Demographics
NPI:1780839357
Name:BETTER AT HOME, LLC.
Entity type:Organization
Organization Name:BETTER AT HOME, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LUCY
Authorized Official - Middle Name:VIOLETA
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:813-374-0309
Mailing Address - Street 1:7520 W WATERS AVE
Mailing Address - Street 2:SUITE 19
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33615-1599
Mailing Address - Country:US
Mailing Address - Phone:813-374-0309
Mailing Address - Fax:813-902-7196
Practice Address - Street 1:7520 W WATERS AVE
Practice Address - Street 2:SUITE 19
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33615-1599
Practice Address - Country:US
Practice Address - Phone:813-374-0309
Practice Address - Fax:813-902-7196
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-24
Last Update Date:2014-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL30211371251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL30211371OtherAHCA NURSE REGISTRY LICENSE NUMBER