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NPI Code Detail

MEDICARE: CARING HEARTS PRIVATE CARE LLC

MEDICARE: CARING HEARTS PRIVATE CARE 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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1902511231
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARING HEARTS PRIVATE CARE LLC
Provider Business Mailing Address
First Line : 405 SAN PEDRO AVE SW
Second Line :
City : PALM BAY
State : FL
Zip : 32908-3436
Country : US
Telephone Number : 804-564-2374
Fax Number :
Provider Business Practice Location Address
First Line : 405 SAN PEDRO AVE SW
Second Line :
City : PALM BAY
State : FL
Zip : 32908-3436
Country : US
Telephone Number : 804-564-2374
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MS. AMEDIA JONES
Credential : CNA
Telephone Number : 804-564-2374
Provider Enumeration Date : 01/20/2023
Last Update Date : 01/20/2023

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Directions to “CARING HEARTS PRIVATE CARE LLC ” Practice Location

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