Healthcare Provider Details
I. General information
NPI: 1871898619
Provider Name (Legal Business Name): CARING HEART REHABILITATION AND NURSING CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/25/2011
Last Update Date: 02/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
700 N PALMETTO ST
LEESBURG FL
34748-4419
US
IV. Provider business mailing address
3389 SHERIDAN ST #416
HOLLYWOOD FL
33021-3606
US
V. Phone/Fax
- Phone: 352-323-2400
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BN1400X |
| Taxonomy | Nursing Facility Supplies (DME) |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BP3500X |
| Taxonomy | Parenteral & Enteral Nutrition Supplies (DME) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
ARNOLD
HEINEMANN
Title or Position: VICE CHAIRMAN
Credential:
Phone: 845-746-5004