Healthcare Provider Details

I. General information

NPI: 1881087328
Provider Name (Legal Business Name): HEART BEATS 4 U
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2015
Last Update Date: 03/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1941 NICOLE LEE CIR APT 1034
APOPKA FL
32703-3466
US

IV. Provider business mailing address

1941 NICOLE LEE CIR APT 1034
APOPKA FL
32703-3466
US

V. Phone/Fax

Practice location:
  • Phone: 407-963-9490
  • Fax:
Mailing address:
  • Phone: 407-963-9490
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: CARMEN TIFFANY WILSON
Title or Position: CEO
Credential: CNA
Phone: 407-963-9490