# DYNASTY HOME HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083319461
- **Authorized official:** JANY MEDEROS CABRERA (AMBR)
- **Authorized official phone:** (813) 331-5595

## Contact information

- **Practice address:** 5406 HOOVER BLVD STE 5, TAMPA, FL 33634-5330
- **Practice address phone:** (813) 331-5595
- **Mailing address:** 5406 HOOVER BLVD STE 5, TAMPA, FL 33634-5330
- **Mailing address phone:** (813) 331-5595

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/04/2023
- **Last updated:** 08/19/2025
