Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tice Ridley

Individual provider Adult Care Home Facility · NPI 1285258368

Tice Ridley is an Adult Care Home Facility in Dade City, Florida. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

19717 Bower Rd
Dade City, FL 33523-6867
Phone: (773) 859-9006
Fax: (727) 499-7526
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Care Home Facility (primary) Taxonomy 311ZA0620X

Record details

NPI number1285258368
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 3, 2020
Last updated in NPPESJune 3, 2020
Certification dateJune 3, 2020
Mailing addressPo Box 406, Bay Pines, FL 33744-0406