Organization
TIDEWELL HOME HEALTH, LLC
Active
Other names
Empath Personal Care
Organization subpart
No
Provider details
NPI number
Authorized official
SAIDA BOUHAMID (CFO)
(941) 552-7500
Entity
Organization
Contact information
Practice address
5955 RAND BLVD, SARASOTA, FL 34238-5160
(941) 552-7544
Mailing address
5955 RAND BLVD, SARASOTA, FL 34238-5160
(941) 552-7544
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002597100
—
FL
Enumeration date
10/26/2021
Last updated
01/11/2024
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