Healthcare Provider Details

I. General information

NPI: 1275361925
Provider Name (Legal Business Name): CARING HEARTS RESIDENTIAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2024
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13920 58TH ST N
CLEARWATER FL
33760-3770
US

IV. Provider business mailing address

13920 58TH ST N STE 1002
CLEARWATER FL
33760-3770
US

V. Phone/Fax

Practice location:
  • Phone: 727-240-0125
  • Fax:
Mailing address:
  • Phone: 727-240-0125
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: LEONARD M HAIRSTON
Title or Position: REGIONAL DIRECTOR
Credential:
Phone: 727-240-0125