MEDICARE: CARING HANDS WITH LOVE BY PEACHES

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	164W00000X	Licensed Practical Nurse
2	261QA0600X	Adult Day Care Clinic/Center
3	347C00000X	Private Vehicle
4	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1508535584
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARING HANDS WITH LOVE BY PEACHES

Provider Business Mailing Address
First Line	:	800 W POWELL ST # 0
Second Line	:
City	:	DOTHAN
State	:	AL
Zip	:	36303-4129
Country	:	US
Telephone Number	:	334-350-7478
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 W POWELL ST
Second Line	:
City	:	DOTHAN
State	:	AL
Zip	:	36303-4129
Country	:	US
Telephone Number	:	334-350-7478
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. ROVENIA HUMPHRIES
Credential	:
Telephone Number	:	334-350-7478

Provider Enumeration Date	:	09/13/2021
Last Update Date	:	03/26/2026

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Directions to “CARING HANDS WITH LOVE BY PEACHES ” Practice Location

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