# VIDAMED HOME HEALTHCARE LLC

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

## Provider details

- **NPI number:** 1851211395
- **Authorized official:** LISANDRA MACIAS (OWNER)
- **Authorized official phone:** (813) 352-0131

## Contact information

- **Practice address:** 4700 N HABANA AVE STE 501, TAMPA, FL 33614-7120
- **Practice address phone:** (813) 877-7033
- **Mailing address:** 4700 N HABANA AVE STE 501, TAMPA, FL 33614-7120

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/16/2026
- **Last updated:** 07/16/2026