=====================================================
General NPI Number Information
=====================================================
NPI Number | 1982592465
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HEART AND HANDZ
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/25/2025
-----------------------------------------------------
Last Update Date | 06/25/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6438 COUNTY ROAD 562
-----------------------------------------------------
City | CLERMONT
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34714
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 321-276-1129
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2875 S ORANGE AVE STE 500
-----------------------------------------------------
City | ORLANDO
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32806-5455
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 321-276-1129
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | CANDICE ROLLINS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 321-276-1129
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251J00000X
-----------------------------------------------------
Taxonomy Name | Nursing Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------