Provider Demographics
NPI:1306322615
Name:RED HAT SERVICES INC
Entity type:Organization
Organization Name:RED HAT SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LASONDRIA
Authorized Official - Middle Name:
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-841-7368
Mailing Address - Street 1:1111 OAKFIELD DR STE 115D
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-4930
Mailing Address - Country:US
Mailing Address - Phone:813-324-6541
Mailing Address - Fax:813-603-1100
Practice Address - Street 1:1111 OAKFIELD DR STE 115D
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-4930
Practice Address - Country:US
Practice Address - Phone:813-324-6541
Practice Address - Fax:813-603-1100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-19
Last Update Date:2019-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No385H00000XRespite Care FacilityRespite Care