MEDICARE: CARING HEARTS OF VOLUSIA COUNTY, LLC.

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	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1609710201
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARING HEARTS OF VOLUSIA COUNTY, LLC.

Provider Business Mailing Address
First Line	:	226 WINDSOR DR
Second Line	:
City	:	PORT ORANGE
State	:	FL
Zip	:	32129-4046
Country	:	US
Telephone Number	:	386-248-7116
Fax Number	:

Provider Business Practice Location Address
First Line	:	226 WINDSOR DR
Second Line	:
City	:	PORT ORANGE
State	:	FL
Zip	:	32129-4046
Country	:	US
Telephone Number	:	386-248-7116
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ELIZABETH LOUISE PHILLIPS
Credential	:
Telephone Number	:	386-248-7116

Provider Enumeration Date	:	04/15/2026
Last Update Date	:	04/15/2026

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