Provider Profile
CARE IMPACT PLUS PASADENA
Home Health Agency
FACILITY PROFILE
Street Address
- 1225 PASADENA AVE S.
SAINT PETERSBURG, FL 33707
County: Pinellas - Phone: (727) 381-5411
Mailing Address
- 2847 PENN FORREST BLVD
ROANOKE, VA 24018
County: - Phone: (800) 776-2320
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Facility Information:
| Facility/Provider Type: | Home Health Agency | ||||||
| Administrator: | WILLIS WITTY JR. | ||||||
| Chief Executive Officer: | Not Available | ||||||
| Financial Officer: | SABRINA HARDEN | ||||||
| Owner/Licensee: | CARE IMPACT 6, LLC | ||||||
| Owner/Licensee Since: | 4/3/2024 | ||||||
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| Profit Status: | For-Profit | ||||||
| Management Company: | Not Available | ||||||
| Manager Since: | Not Available | ||||||
| Licensed Beds: | Not Available | ||||||
| AHCA Number (File Number): | 19970220 | ||||||
| AHCA Field Office: | 05 | ||||||
| License Number: | 299996187 | ||||||
| Current License Effective: | 12/10/2024 | ||||||
| Current License Expires: | 8/26/2026 | ||||||
| License Status: | CLOSED | ||||||
Services/Characteristics
| Service Area: | Pinellas |
| Certification Status: | Not Certified |
| SERVICES PROVIDED: | Certified Nursing AssistantHome Health AideHomemaker |
| Special Designation: | Non-Skilled Services Only |
| Skilled Pediatric Services: | No |
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.