MEDICARE: FLORIDA CARING HANDS CORP.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility	AL9265	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184805970
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLORIDA CARING HANDS CORP.

Provider Business Mailing Address
First Line	:	2301 S HIGHWAY 17
Second Line	:	FLORIDA CARING HANDS CORP. DBA APPLEHOUSE 2
City	:	CRESCENT CITY
State	:	FL
Zip	:	32112
Country	:	US
Telephone Number	:	386-698-1444
Fax Number	:	386-698-2537

Provider Business Practice Location Address
First Line	:	2301 S. HIGHWAY 17
Second Line	:	APPLEHOUSE 2
City	:	CRESCENT CITY
State	:	FL
Zip	:	32112-3933
Country	:	US
Telephone Number	:	386-698-1444
Fax Number	:	386-698-2537

Authorized Official
Title or Position	:	RN/BSN ADMINISTRATOR
Name	:	MRS. MARY ANN B. VINARTA
Credential	:	REGISTERED NURSE
Telephone Number	:	386-698-1444

Provider Enumeration Date	:	11/20/2007
Last Update Date	:	08/06/2008

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Directions to “FLORIDA CARING HANDS CORP. ” Practice Location

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