Provider Demographics
NPI:1487546024
Name:TAMMYS HEART LLC
Entity type:Organization
Organization Name:TAMMYS HEART LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHANIECE
Authorized Official - Middle Name:
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-708-7696
Mailing Address - Street 1:401 E JACKSON ST STE 2340-L78
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33602-5233
Mailing Address - Country:US
Mailing Address - Phone:813-708-7696
Mailing Address - Fax:813-708-7697
Practice Address - Street 1:401 E JACKSON ST STE 2340-L78
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33602-5233
Practice Address - Country:US
Practice Address - Phone:813-708-7696
Practice Address - Fax:813-708-7697
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility