Healthcare Provider Details

I. General information

NPI: 1528397742
Provider Name (Legal Business Name): CONNECTING HANDS IN FLORIDA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2009
Last Update Date: 12/17/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2832 NW 108TH AVE
SUNRISE FL
33322-1830
US

IV. Provider business mailing address

2832 NW 108TH AVE
SUNRISE FL
33322-1830
US

V. Phone/Fax

Practice location:
  • Phone: 954-560-7468
  • Fax: 954-749-5893
Mailing address:
  • Phone: 954-560-7468
  • Fax: 954-749-5893

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: ANGELA LOAYZA
Title or Position: VICE- PRESIDENT
Credential: BCABA
Phone: 954-560-7468