Healthcare Provider Details

I. General information

NPI: 1407587967
Provider Name (Legal Business Name): CARING COMPANIONS 2000, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2022
Last Update Date: 06/23/2022
Certification Date: 06/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2223 S 25TH ST
FORT PIERCE FL
34947-4796
US

IV. Provider business mailing address

2223 S 25TH ST
FORT PIERCE FL
34947-4796
US

V. Phone/Fax

Practice location:
  • Phone: 772-667-0107
  • Fax:
Mailing address:
  • Phone: 772-667-0107
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. CANDANCE BROWN
Title or Position: OWNER
Credential: RN
Phone: 772-667-0105