SOURCE OF LIFE CARE LLC
NPI 1528840279
Home Health in Largo, FL

Active since October 17, 2023
12823 138TH LN, LARGO, FL 33774(727) 426-0966(386) 200-5982 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Source Of Life Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOURCE OF LIFE CARE LLC (NPI 1528840279) is a healthcare organization registered as a home health in Largo, Florida and active in the NPI registry since October 2023. The organization lists Perpetue Wanyandwe, Administrator, as its authorized official.

NPPES Registry Identity

NPI1528840279
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameSOURCE OF LIFE CARE LLC
Location Address12823 138TH LNLargo, FL 33774-2439
Mailing Address12823 138th LnLargo, FL 33774-2439 · (727) 426-0966 · Fax (386) 200-5982
Fax(386) 200-5982
Organization SubpartNo
Authorized OfficialPerpetue WanyandweAdministrator · (727) 426-0966
Enumeration DateOctober 17, 2023
NPPES CertifiedOctober 17, 2023
NPI 1528840279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
12823 138TH LN, Largo, FL 33774

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Source Of Life Care LLC's NPI number?

The NPI number for Source Of Life Care LLC is 1528840279. It was assigned to this organization in the NPPES registry on October 17, 2023.

Where is Source Of Life Care LLC located?

Source Of Life Care LLC is located at 12823 138th Ln, Largo, FL 33774. The listed phone number is (727) 426-0966.

What is Source Of Life Care LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Source Of Life Care LLC was last updated on October 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.