IMPERIAL CONNECTIONS SUPPORT PROGRAMS, LLC (NPI# 1184112427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184112427 |
| Entity Type | Organization |
| Organization Name | IMPERIAL CONNECTIONS SUPPORT PROGRAMS, LLC |
| Practice Address |
9806 N Connechusett Rd Tampa FL 33617 |
| Mailing Address |
5450 Bruce B Downs Blvd Ste 328 Wesley Chapel FL 33544-8616 |
| Practice Telephone | 8133959950 |
| Practice Fax Number | 8133646474 |
| Mailing Telephone | 8133959950 |
| Mailing Fax Number | 8133646474 |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2018-05-30 |
| Authorized Official Name | KIMERLYN JOHNSON (OWNER) |
| Authorized Official Telephone | 8133959950 |
| Authorized Official Credential | ED.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 253Z00000X | In Home Supportive Care | 022101700 | FL | Agencies |
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 022101700 | FL | Residential Treatment Facilities |
| N | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
022101700 | FL | Respite Care Facility |
| Y | 251E00000X | Home Health | 235233 | FL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 022101700 | 05 |
| Street Address |
9806 N CONNECHUSETT RD |
| City | TAMPA |
| State | FL |
| Zip Code | 33617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285253195 | Kare Medical Equipment Inc. | Durable Medical Equipment & Medical Supplies | 7860 North 56th Street, Tampa, FL 33617 | 2020-04-10 |
| 1942840467 | Care Medrx LLC | Pharmacy | 311 Bullard Pkwy Ste. B, Temple Terrace, FL 33617 | 2020-01-13 |
| 1467004804 | Favorite Care Services, LLC | In Home Supportive Care | 7628 N 56th St Ste 2, Tampa, FL 33617 | 2019-07-16 |
| 1982265625 | Promise Home Care Agency LLC | In Home Supportive Care | 315 Bahamas Ave, Tampa, FL 33617 | 2019-06-24 |
| 1164912754 | Superior Physician Group | Pain Medicine | 10730 N 56th St Ste 209, Temple Terrace, FL 33617 | 2018-05-18 |
| 1346738796 | Advanced Pain Management and Anesthesiology | Clinic/Center | 4209 E. Busch Blvd, Tampa, FL 33617 | 2018-05-01 |
| 1609394204 | Erin E Sleeper | Behavior Technician | 418 Belle Claire Ave, Temple Terrace, FL 33617 | 2017-09-03 |
| 1720504293 | Robin A Kelly | Nurse's Aide | 7523 Pitch Pine Circle, Apt B, Tampa, FL 33617 | 2017-08-16 |
| 1174046023 | Rishita Amish Patel | Pharmacist | 532 Heritage Brook Cir, Apt #101, Temple Terrace, FL 33617 | 2017-07-24 |
| 1720500192 | Tuyet Minh Ngoc Le | Pharmacist | 5007 East 110th Ave, Tampa, FL 33617 | 2017-07-07 |
| Find all providers in zip 33617 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193748 | Cherrish M Jackson | Home Health | 1330 Treasure Key Ct, Tampa, FL 33612-8819 | 2020-10-29 |
| 1043817539 | Adreaion S Algere | Home Health | 8304 N Hillsborough Ln, Tampa, FL 33604-3531 | 2020-10-07 |
| 1316552078 | Absolute Home Health II LLC | Home Health | 13542 N Florida Ave Ste 112a, Tampa, FL 33613-3206 | 2020-09-10 |
| 1134733082 | Robin Rollena Stewart | Home Health | 9537 Lazy Lane, Apt 302, Tampa, FL 33614 | 2020-09-08 |
| 1558972935 | Innovative Healthcare of Florida, Inc. | Home Health | 8903 Bruce B Downs Blvd, Tampa, FL 33647 | 2020-08-11 |
| 1013526532 | Holistic Home Health Inc | Home Health | 8316 Hanley Rd Ste 14, Tampa, FL 33634-2284 | 2020-07-30 |
| 1407465131 | Palm Leaves Home Health Care | Home Health | 12094 Anderson Rd # 323, Tampa, FL 33625-5682 | 2020-07-28 |
| 1275141574 | Daneiry Moya | Home Health | 7007 Seabury Ct, Tampa, FL 33615-2958 | 2020-07-22 |
| 1568070035 | Continued Health Services, LLC | Home Health | 8724 N Edison Ave, Tampa, FL 33604-1215 | 2020-07-21 |
| 1275159436 | Absolute Healthcare Services, LLC | Home Health | 12421 N Florida Ave Ste 210, Tampa, FL 33612-4277 | 2020-06-23 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.