Healthcare Provider Details

I. General information

NPI: 1780520536
Provider Name (Legal Business Name): BRAVE HEARTS CARE SERVICES FL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4830 W KENNEDY BLVD
TAMPA FL
33609-2564
US

IV. Provider business mailing address

4830 W KENNEDY BLVD
TAMPA FL
33609-2564
US

V. Phone/Fax

Practice location:
  • Phone: 626-551-9471
  • Fax: 800-543-3356
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SARAH HARMON
Title or Position: OWNER
Credential:
Phone: 626-551-9471