Healthcare Provider Details

I. General information

NPI: 1164934550
Provider Name (Legal Business Name): CARING HAND COMPANIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2017
Last Update Date: 02/22/2022
Certification Date: 02/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2707 KILLARNEY WAY STE 210
TALLAHASSEE FL
32309-6204
US

IV. Provider business mailing address

208 CHEESEBOROUGH AVE
QUINCY FL
32351-4510
US

V. Phone/Fax

Practice location:
  • Phone: 850-518-4484
  • Fax: 855-402-2854
Mailing address:
  • Phone: 850-509-7564
  • Fax: 855-402-2854

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. SHINITA ANN BAKER
Title or Position: OWNER
Credential: MS
Phone: 850-518-4484