OrganizationActive
Group Home Holdings, LLC
NPI 1265013734 · Intellectual Disabilities Intermediate Care Facility · Tampa, FL
Provider details
- NPI number
- 1265013734
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Mary Benson, Director of Billing(336) 553-5946
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9502 N Florida Ave
Tampa, FL 33612-7910
Phone: (919) 390-2980
Street-level locationGet directions
Mailing address
6531 Meridien Dr Ste 103
Raleigh, NC 27616-3213
Registry dates
- Enumerated
- 2021-04-16
- Last updated
- 2021-04-16
- Certified
- 2021-04-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.