=====================================================
General NPI Number Information
=====================================================
NPI Number | 1215883152
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MINDFUL CONNECTIONS CARE SERVICES INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/04/2026
-----------------------------------------------------
Last Update Date | 03/04/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 825 BRICKELL BAY DR STE 246-10
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33131-2936
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-485-3842
-----------------------------------------------------
Fax | 786-409-6964
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 825 BRICKELL BAY DR STE 246-10
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33131-2936
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-485-3842
-----------------------------------------------------
Fax | 786-409-6964
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | LIZANDRA LOPEZ
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 305-890-0426
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------