Healthcare Provider Details

I. General information

NPI: 1740572171
Provider Name (Legal Business Name): CARING HANDS HEALTH SYSTEMS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2011
Last Update Date: 05/03/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 ALLENHURST PL
CARY NC
27518-6480
US

IV. Provider business mailing address

4400 BAYOU BLVD STE 47
PENSACOLA FL
32503-1929
US

V. Phone/Fax

Practice location:
  • Phone: 704-605-6646
  • Fax: 888-234-2028
Mailing address:
  • Phone: 704-605-6646
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. VANESSA BRADLEY-KELLEY
Title or Position: CEO,CVO
Credential:
Phone: 704-605-6646