=====================================================
General NPI Number Information
=====================================================
NPI Number | 1457779696
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FOR THOSE WHO CARE, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/04/2014
-----------------------------------------------------
Last Update Date | 04/04/2014
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 340 W CENTRAL AVE STE. 230
-----------------------------------------------------
City | WINTER HAVEN
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33880-2967
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 863-299-1100
-----------------------------------------------------
Fax | 863-299-1105
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1150 W MINNEOLA AVE
-----------------------------------------------------
City | CLERMONT
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34711-2054
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 352-536-2511
-----------------------------------------------------
Fax | 352-536-2611
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRES/CEO
-----------------------------------------------------
Name | MARY LOU WIELOSZYNSKI
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 352-536-2511
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 30211348
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------