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Export Provider Record NPI 1417672197
Homemd Housecall Services Florida
Organization Subpart: YES
Active
NPI Number1417672197
NPI TypeNPI-2 Organization
SpecialtyNurse Practitioner, Gerontology
Provider Details
NPI1417672197
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2022-10-05
Last Updated2022-10-05
Authorized OfficialJim Tougas
CEO
Phone: 7344449858
Mailing Address5758 Cooley Lake Rd
Waterford, MI 48327-3073
United States
Phone: (855) 466-3631 | Fax: (810) 244-0226
📍 View Map
Primary Practice Address812 W Dr Martin Luther King Jr Blvd
Tampa, FL 33603-3338
United States
Phone: (855) 466-3631 | Fax: (810) 244-0226
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No261QP1100X – Clinic/Center, Podiatric--
Yes363LG0600X – Nurse Practitioner, Gerontology--
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About NPI 1417672197

Homemd Housecall Services Florida is an organization registered in the CMS NPPES NPI Registry with NPI number 1417672197. The primary specialty listed is Nurse Practitioner, Gerontology. The organization is located in Tampa, FL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2022-10-05. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1417672197?

NPI 1417672197 belongs to Homemd Housecall Services Florida, a Nurse Practitioner, Gerontology in Tampa, FL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1417672197 active?

The current status of NPI 1417672197 in the NPPES registry is Active. The record was last updated on 2022-10-05.

What specialty is NPI 1417672197?

NPI 1417672197 is classified under the taxonomy Nurse Practitioner, Gerontology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1417672197?

You can verify NPI 1417672197 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1417672197?

The primary practice address on file for NPI 1417672197 is 812 W Dr Martin Luther King Jr Blvd, Tampa, FL 33603-3338. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1417672197 issued?

NPI 1417672197 was first issued (enumerated) on 2022-10-05. The NPPES record was last updated on 2022-10-05.

Practice Location Map

Homemd Housecall Services Florida is located at 812 W Dr Martin Luther King Jr Blvd, Tampa, FL. Use the map below to find directions or verify the practice location.

📍 812 W Dr Martin Luther King Jr Blvd, Tampa, FL 33603-3338  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Homemd Housecall Services Florida. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-08-28 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162