Healthcare Provider Details

I. General information

NPI: 1831744002
Provider Name (Legal Business Name): CLAUDETTES HELPING HANDS AND CARING HEARTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2019
Last Update Date: 05/18/2022
Certification Date: 05/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 3RD ST NW
JASPER FL
32052-5868
US

IV. Provider business mailing address

1310 3RD ST NW
JASPER FL
32052-5868
US

V. Phone/Fax

Practice location:
  • Phone: 386-792-3649
  • Fax: 386-792-3649
Mailing address:
  • Phone: 386-792-3649
  • Fax: 386-792-3649

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MRS. CONNIE ELAINE LOVETT
Title or Position: ADMINISTRATOR
Credential:
Phone: 386-792-3649