Provider Demographics
NPI:1568348100
Name:LOTUS CARE AT HOME TAMPA, LLC
Entity type:Organization
Organization Name:LOTUS CARE AT HOME TAMPA, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:VEGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-806-8611
Mailing Address - Street 1:7402 N 56TH ST STE 100O
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33617-7746
Mailing Address - Country:US
Mailing Address - Phone:786-806-8611
Mailing Address - Fax:305-503-8225
Practice Address - Street 1:7402 N 56TH ST STE 100O
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33617-7746
Practice Address - Country:US
Practice Address - Phone:786-806-8611
Practice Address - Fax:305-503-8225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Single Specialty