1851795991 NPI number — ALLDAY HOME HEALTH CORP

Table of content: MS. RACHEL ELIZABETH BARTKOWIAK LMSW (NPI 1497232110)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851795991 NPI number — ALLDAY HOME HEALTH CORP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALLDAY HOME HEALTH CORP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1851795991
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/17/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4025 TAMPA RD STE 1205
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OLDSMAR
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
34677-3214
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
727-578-8850
Provider Business Mailing Address Fax Number:
813-319-2882

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3974 TAMPA RD STE C
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OLDSMAR
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34677-3227
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
727-575-9943
Provider Business Practice Location Address Fax Number:
813-319-2882
Provider Enumeration Date:
10/17/2014

Additional Information

Authorized Official

Authorized Official Last Name:
DEL VALLE
Authorized Official First Name:
MIGUEL
Authorized Official Middle Name:
A
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
727-578-8850

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 111661500 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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