MEDICARE: MOTHERLY HANDS 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	251E00000X	Home Health 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	:	1891448106
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOTHERLY HANDS INC.

Provider Business Mailing Address
First Line	:	13441 ENGLISH PEAK CT
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32258-5502
Country	:	US
Telephone Number	:	904-345-1914
Fax Number	:

Provider Business Practice Location Address
First Line	:	13441 ENGLISH PEAK CT
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32258-5502
Country	:	US
Telephone Number	:	190-434-5191
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PROVIDER
Name	:	ELIZETTE TAYLOR
Credential	:
Telephone Number	:	904-345-1914

Provider Enumeration Date	:	01/27/2022
Last Update Date	:	01/27/2022

Similar Medicare Providers

1215594585 — ELIZETTE TAYLOR
Practice Location Address:

13441 ENGLISH PEAK CT
JACKSONVILLE, FL
32258-5502

Practice Phone: 904-345-1914
Practice Fax:

1710625900 — MOTHERLY HANDS INC.
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13341 ENGLISH PEAK COURT
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1720958580 — LAURIE ANN ILIFF APRN
Practice Location Address:

12574 FLAGLER CENTER BLVE STE. 201
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32258

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1154934545 — MRS. TAYLOR DIANE MATERIA BCBA
Practice Location Address:

12735 GRAN BAY PKWY W STE 204
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1154078608 — KATELYNN LEWIS
Practice Location Address:

12735 GRAN BAY PKWY W STE 204
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