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General NPI Number Information
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NPI Number | 1871457911
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Entity Type | Organization
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Legal Business Name | GOOD HEART CARE AGENCY LLC
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Dates
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Enumeration Date | 12/12/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 17860 TROPICAL COVE DR
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City | THONOTOSASSA
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State | FL
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Zip | 33592
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Country | US
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Telephone | 973-413-0434
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Fax |
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Provider Business Mailing Address
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Address Line | 19046 BRUCE B DOWNS BLVD # 1207
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City | TAMPA
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State | FL
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Zip | 33647-2434
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Country | US
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Telephone | 973-413-0434
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANNGIE PIERRE LOUIS
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Credential |
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Telephone | 973-413-0434
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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