Healthcare Provider Details

I. General information

NPI: 1154066447
Provider Name (Legal Business Name): EMBRACE HEALTHCARE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2022
Last Update Date: 07/21/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2118 SE 1ST ST
CAPE CORAL FL
33990-1401
US

IV. Provider business mailing address

2118 SE 1ST ST
CAPE CORAL FL
33990-1401
US

V. Phone/Fax

Practice location:
  • Phone: 239-839-2581
  • Fax:
Mailing address:
  • Phone: 888-213-5103
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. CALVIN SMITH
Title or Position: OWNER/PRESIDENT
Credential: PT, DPT
Phone: 888-213-5103