Healthcare Provider Details

I. General information

NPI: 1902471550
Provider Name (Legal Business Name): HEARTS OF HELPING HANDS HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2021
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5519 MYRTICE LN
LAKELAND FL
33810-3200
US

IV. Provider business mailing address

5519 MYRTICE LN
LAKELAND FL
33810-3200
US

V. Phone/Fax

Practice location:
  • Phone: 863-409-1135
  • Fax:
Mailing address:
  • Phone: 863-409-1135
  • Fax:

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 Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: QUINTON WILSON
Title or Position: OWNER
Credential:
Phone: 863-409-1135