THE HOSPICE OF THE FLORIDA SUNCOAST, INC. – Community Based Hospice Care Agency, NPI 1124028204
Community Based Hospice Care Agency
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for THE HOSPICE OF THE FLORIDA SUNCOAST, INC.
5771 ROOSEVELT BLVD
CLEARWATER, FL 337603407
Phone: (727) 586-4432
Fax: (727) 523-3342
Type: Mailing
5771 Roosevelt Blvd
Clearwater, FL 337603407
Phone: (727) 586-4432
Fax: (727) 523-3342
Type: Location
6310 CAPITAL DR
LAKEWOOD RANCH, FL 342025013
Phone: (727) 586-4432
Fax: (727) 523-3342
Type: Mailing
2675 TAMPA RD
PALM HARBOR, FL 346843109
Phone: (727) 586-4432
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-11-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-08-31 (1010 days ago).
Enrollment records
2
Earliest due date
2023-08-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040126000439 | O | Clinic/Group Practice | FL | 2023-08-31 |
| O20051103000251 | O | Hospice | FL | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33760)
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