Provider Demographics
NPI:1285396192
Name:HILL, VOLANDA (HHA/OWNER/OPERATOR)
Entity type:Individual
Prefix:
First Name:VOLANDA
Middle Name:
Last Name:HILL
Suffix:
Gender:F
Credentials:HHA/OWNER/OPERATOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7320 E FLETCHER AVE STE 126
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33637-0916
Mailing Address - Country:US
Mailing Address - Phone:813-539-7060
Mailing Address - Fax:813-315-6265
Practice Address - Street 1:7320 E FLETCHER AVE STE 126
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33637-0916
Practice Address - Country:US
Practice Address - Phone:813-539-7060
Practice Address - Fax:813-315-6265
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-07
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No372600000XNursing Service Related ProvidersAdult Companion
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL589OtherHOME HEALTH AGENCY LICENSE
FL110379000Medicaid