MEDICARE: HEARTS&HANDS CARE AGENCY 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	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care
2	251C00000X	Developmentally Disabled Services Day Training Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649898842
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEARTS&HANDS CARE AGENCY INC

Provider Business Mailing Address
First Line	:	1567 NW 29TH RD APT 3
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32605-3066
Country	:	US
Telephone Number	:	352-214-4750
Fax Number	:

Provider Business Practice Location Address
First Line	:	1567 NW 29TH RD APT 3
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32605-3066
Country	:	US
Telephone Number	:	352-214-4750
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SHANDRA PHILLIPS
Credential	:
Telephone Number	:	352-214-4750

Provider Enumeration Date	:	07/14/2020
Last Update Date	:	07/14/2020

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Directions to “HEARTS&HANDS CARE AGENCY INC ” Practice Location

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