FL FALCON HOME CARE LLC (NPI# 1508372475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508372475 |
| Entity Type | Organization |
| Organization Name | FL FALCON HOME CARE LLC |
| Other Organization Name | FL FALCON HOME CARE LLC |
| Practice Address |
3706 W Idlewild Cir Apt 203 Tampa FL 33614-5754 |
| Practice Telephone | 8005573173 |
| Practice Fax Number | 8133482993 |
| Mailing Telephone | 8005573173 |
| Mailing Fax Number | 8133482993 |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2017-12-19 |
| Authorized Official Name | MRS. WAVENEY WILLIAMS (ADMINISTRATOR) |
| Authorized Official Telephone | 8134460162 |
| Authorized Official Credential | CEO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 253Z00000X | In Home Supportive Care | 234950 | FL | Agencies |
| N | 311500000X | Alzheimer Center (Dementia Center) | 234950 | FL | Nursing & Custodial Care Facilities |
| N | 376J00000X | Homemaker | 234950 | FL | Nursing Service Related Providers |
| N | 385H00000X | Respite Care | FL | Respite Care Facility | |
| Y | 372600000X | Adult Companion | 234950 | FL | Nursing Service Related Providers |
| Other Name | Type Code |
|---|---|
| FL FALCON HOME CARE LLC | Former Legal Business Name - Organization |
| Street Address |
3706 W IDLEWILD CIR APT 203 |
| City | TAMPA |
| State | FL |
| Zip Code | 33614-5754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733082 | Robin Rollena Stewart | Home Health | 9537 Lazy Lane, Apt 302, Tampa, FL 33614 | 2020-09-08 |
| 1346885761 | David Joseph Page | Nurse Practitioner | St. Joseph's Behavioral Health Center, 4918 N. Habana Ave, Tampa, FL 33614 | 2019-11-08 |
| 1134687411 | Ramon Chang Adult Family Care Home LLC | Custodial Care Facility | 2607 W Humphrey St, Tampa, FL 33614 | 2019-03-06 |
| 1134600612 | Senior Point Assisted Living Facility, LLC | Assisted Living Facility | 2940 W Hillsborough Ave, Tampa, FL 33614 | 2018-08-23 |
| 1306361266 | Larry Valdes | Assisted Living Facility | 4402 W Minnehaha St, Tampa, FL 33614 | 2017-08-11 |
| 1982128062 | Jaime F Casellas Md Corp | Internal Medicine | 4600 N Habana Ave Suit #13, Tampa, FL 33614 | 2017-07-31 |
| 1891219119 | Waveney Gittens-williams | Alzheimer Center (Dementia Center) | 3706 W. Idle Wild Cir #203, Tampa, FL 33614 | 2017-07-28 |
| 1750811857 | Syerita Nicole Morris | Counselor | 6800 N Dale Marby Hwy, Ste 164, Tampa, FL 33614 | 2017-06-13 |
| 1447786124 | Lisa Moy | Case Manager/Care Coordinator | 4001 W. Dr. Martin Luther King Jr. Blvd., Tampa, FL 33614 | 2017-05-02 |
| 1750813804 | Joshua Martin Good | Physical Therapy Assistant | 3363 W. Waters Avenue, Suite 700, Tampa, FL 33614 | 2017-03-29 |
| Find all providers in zip 33614 | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536305 | Yolanda M Orr | Adult Companion | 1401 Marathon Key Dr Apt 103, Tampa, FL 33612-3650 | 2020-10-20 |
| 1245841311 | Heather Denise Conyers | Adult Companion | 4505 Webster St, Tampa, FL 33610-7072 | 2020-08-12 |
| 1972120293 | Marsha Albury | Adult Companion | 4102 E Humphrey St Apt C, Tampa, FL 33617-5926 | 2020-07-02 |
| 1902421670 | Gentle Love and Care | Adult Companion | 2780 E Fowler Ave # 1025, Tampa, FL 33612-6297 | 2020-06-09 |
| 1427672112 | Sherina Renay Meneley | Adult Companion | 4111 Waterside Island Ct, Tampa, FL 33617-7369 | 2020-05-29 |
| 1376194498 | Mostin Cuthbert Williams | Adult Companion | 8324 Paddlewheel St, Tampa, FL 33637-6543 | 2019-09-20 |
| 1811553704 | Latarchia S Wilcox | Adult Companion | 2116 W State St, Tampa, FL 33606-1048 | 2019-05-15 |
| 1649781840 | Brittney C Johnson | Adult Companion | 11201 N 22nd St Apt 55, Tampa, FL 33612-6136 | 2017-10-16 |
| 1801325212 | Mildred Yvonne Rivera | Adult Companion | 3806 E Flora St, Tampa, FL 33604-5118 | 2017-06-08 |
| 1215388509 | Allison Bradley | Adult Companion | 405 Papaya Dr, Tampa, FL 33619-4141 | 2016-06-28 |
| 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.