Healthcare Provider Details

I. General information

NPI: 1639092901
Provider Name (Legal Business Name): THE CARING NEST FOUNDATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 NW 3RD AVE APT 502
MIAMI FL
33136-2508
US

IV. Provider business mailing address

1065 SW 8TH ST # 1925
MIAMI FL
33130-3601
US

V. Phone/Fax

Practice location:
  • Phone: 786-368-7982
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number State

VIII. Authorized Official

Name: MITA POLYNICE
Title or Position: CEO
Credential: LPN
Phone: 786-368-7982