Provider Demographics
NPI:1962051953
Name:SOUTHWEST FLORIDA HOME CARE INC
Entity type:Organization
Organization Name:SOUTHWEST FLORIDA HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKEOWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-906-5058
Mailing Address - Street 1:9720 PRINCESS PALM AVE STE 130
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33619-8346
Mailing Address - Country:US
Mailing Address - Phone:813-906-9058
Mailing Address - Fax:813-374-5882
Practice Address - Street 1:9720 PRINCESS PALM AVE STE 130
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33619-8346
Practice Address - Country:US
Practice Address - Phone:813-906-5058
Practice Address - Fax:813-374-5882
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOUTHWEST FLORIDA HOME CARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-09-11
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health