Provider Demographics
NPI:1760296586
Name:IGNITE HOME HEALTH -REGION 6 LLC
Entity type:Organization
Organization Name:IGNITE HOME HEALTH -REGION 6 LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:T
Authorized Official - Last Name:HAUSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-409-5550
Mailing Address - Street 1:4030 HENDERSON BLVD STE 541
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33629-4940
Mailing Address - Country:US
Mailing Address - Phone:727-409-5550
Mailing Address - Fax:
Practice Address - Street 1:4830 W KENNEDY BLVD STE 880
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-2528
Practice Address - Country:US
Practice Address - Phone:800-298-5479
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:IGNITE HOME HEALTH LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health