Healthcare Provider Details

I. General information

NPI: 1982019816
Provider Name (Legal Business Name): TAKITA S. HAYES DBA TAKITA'S HELPING HANDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2014
Last Update Date: 02/20/2025
Certification Date: 02/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1599 TROPICAL CT STE 2
TAVARES FL
32778-4323
US

IV. Provider business mailing address

5024 GRASSY KNOLL DR
TAVARES FL
32778-6211
US

V. Phone/Fax

Practice location:
  • Phone: 352-504-8964
  • Fax:
Mailing address:
  • Phone: 352-504-8964
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number009976600
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: TAKITA SHONTA HAYES
Title or Position: OWNER
Credential:
Phone: 352-504-8954