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General NPI Number Information
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NPI Number | 1912367913
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Entity Type | Organization
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Legal Business Name | HEART'S DESIRE HOMEMAKER & COMPANION SERVICES, LLC
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Dates
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Enumeration Date | 03/03/2016
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Last Update Date | 03/27/2023
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Provider Practice Location Address
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Address Line | 333 3RD AVE N # 200B
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City | ST PETERSBURG
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State | FL
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Zip | 33701-3899
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Country | US
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Telephone | 866-735-8065
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Fax | 727-202-7331
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Provider Business Mailing Address
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Address Line | 333 3RD AVE N # 221
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City | ST PETERSBURG
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State | FL
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Zip | 33701-3899
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Country | US
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Telephone | 866-735-8065
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Fax | 727-202-7331
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ADREIKA V FLUELLEN
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Credential |
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Telephone | 866-735-8065
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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