MEDICARE: CARING HEARTS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD1600X	Developmental Disabilities Clinic/Center

General Provider Information

NPI Number	:	1144157801
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARING HEARTS INC

Provider Business Mailing Address
First Line	:	117 SW MULBERRY DR
Second Line	:
City	:	LAKE CITY
State	:	FL
Zip	:	32024-6741
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	117 SW MULBERRY DR
Second Line	:
City	:	LAKE CITY
State	:	FL
Zip	:	32024-6741
Country	:	US
Telephone Number	:	407-448-1052
Fax Number	:

Authorized Official
Title or Position	:	CO-EXEC. DIRECTOR
Name	:	MARQUETTE SMITH
Credential	:
Telephone Number	:	407-448-1052

Provider Enumeration Date	:	05/06/2026
Last Update Date	:	05/06/2026

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