Provider Profile
ABUNDANT LIFE HOME HEALTH AGENCY LLC
Home Health Agency
FACILITY PROFILE
Accredited by: Joint Commission
Street Address
- 5331 PRIMROSE LAKE CIR STE 125
TAMPA, FL 33647-3597
County: Hillsborough - Phone: (727) 286-8916
Mailing Address
- 5331 PRIMROSE LAKE CIR STE 125
TAMPA, FL 33647-3597
County: Hillsborough - Phone: (727) 286-8916
AHCA Reports
Inspection ReportsInspection Details
Consumer Guides
Home Health Care in FloridaLong-Term Care
Patient Safety
Health Care Advance Directives
Compare Quality and/or Pricing
Facility Information:
| Facility/Provider Type: | Home Health Agency | |||||||||
| Administrator: | CELIANA LACE VILLAVICENCIO | |||||||||
| Chief Executive Officer: | Not Available | |||||||||
| Financial Officer: | BENJAMIN WALLACE | |||||||||
| Owner/Licensee: | ABUNDANT LIFE HOME HEALTH AGENCY LLC | |||||||||
| Owner/Licensee Since: | 8/20/2015 | |||||||||
| ||||||||||
| Profit Status: | For-Profit | |||||||||
| Management Company: | Not Available | |||||||||
| Manager Since: | Not Available | |||||||||
| Licensed Beds: | Not Available | |||||||||
| AHCA Number (File Number): | 19967507 | |||||||||
| AHCA Field Office: | 06 | |||||||||
| License Number: | 299994461 | |||||||||
| Current License Effective: | 12/1/2024 | |||||||||
| Current License Expires: | 11/1/2025 | |||||||||
| License Status: | LICENSED | |||||||||
Services/Characteristics
| Service Area: | HardeeHighlandsHillsboroughManateePolk |
| Accredited By: | Joint Commission |
| Accredited Deemed Status: | State Only |
| Certification Status: | Not Certified |
| SERVICES PROVIDED: | Nursing CarePhysical TherapySpeech Therapy |
| Special Designation: | Skilled Services |
| Skilled Pediatric Services: | Yes |
Legal Actions
| Date Initiated | Case # | Case Type | Violation | Fine Amount | Date Imposed |
|---|---|---|---|---|---|
| Change of ownership occurred 11/2/2023 | |||||
| 10/12/2021 | 2021014319 | Fine | BGS Rapback | $500.00 | 9/25/2023 |
Important information and facility/provider definitions can be found in the Glossary.
Attn Providers: Requests for changes in data must be sent in writing to the AHCA licensing office.