Healthcare Provider Details

I. General information

NPI: 1831436492
Provider Name (Legal Business Name): BLESSED HEART HAPPY HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2013
Last Update Date: 01/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7049 HENNEPIN BLVD
ORLANDO FL
32812
US

IV. Provider business mailing address

7049 HENNEPIN BLVD
ORLANDO FL
32812
US

V. Phone/Fax

Practice location:
  • Phone: 407-295-1189
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number6906306
License Number StateFL

VIII. Authorized Official

Name: JOSEPH FRANCIS
Title or Position: OWNER
Credential:
Phone: 407-295-1189