Healthcare Provider Details

I. General information

NPI: 1780096487
Provider Name (Legal Business Name): EMBRACING CONCEPTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2014
Last Update Date: 05/29/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9602 SEAVIEW DR APT 104
LEESBURG FL
34788-7698
US

IV. Provider business mailing address

9602 SEAVIEW DR APT 104
LEESBURG FL
34788-7698
US

V. Phone/Fax

Practice location:
  • Phone: 352-434-9704
  • Fax: 352-787-8994
Mailing address:
  • Phone: 352-434-9704
  • Fax: 352-787-8994

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number003176500
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number002411700
License Number StateFL

VIII. Authorized Official

Name: MRS. TIFFANY HAYES HAYES
Title or Position: OWNER
Credential:
Phone: 352-434-9704