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General NPI Number Information
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NPI Number | 1699757385
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Entity Type | Organization
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Legal Business Name | HEARTFELT HOME CARE, INC.
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Dates
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Enumeration Date | 11/17/2005
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Last Update Date | 03/02/2012
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Provider Practice Location Address
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Address Line | 2003 BARTOW RD
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City | LAKELAND
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State | FL
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Zip | 33801-6556
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Country | US
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Telephone | 863-683-5010
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Fax | 863-683-5020
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Provider Business Mailing Address
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Address Line | 4305 VINELAND ROAD SUITE G-16A
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City | ORLANDO
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State | FL
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Zip | 32811-7303
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Country | US
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Telephone | 407-956-1880
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Fax | 407-826-1988
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Authorized Official
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Title or Position | CEO / ADMINISTRATOR
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Name | MS. SUSAN T. MCCASKILL
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Credential | ESQ.
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Telephone | 407-909-1087
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HHA299991837
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License Number State | FL
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