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NPI Code Detail

MEDICARE: CARING HEARTS OF THE EMERALD COAST LLC

MEDICARE: CARING HEARTS OF THE EMERALD COAST LLC
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
1251E00000XHome Health Agency
2253Z00000XIn Home Supportive Care Agency

Other Identifiers

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

General Provider Information

NPI Number : 1316283385
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARING HEARTS OF THE EMERALD COAST LLC
Provider Business Mailing Address
First Line : 1752 SEA LARK LN
Second Line :
City : NAVARRE
State : FL
Zip : 32566-7406
Country : US
Telephone Number : 850-684-3257
Fax Number : 866-467-4424
Provider Business Practice Location Address
First Line : 1752 SEA LARK LN
Second Line :
City : NAVARRE
State : FL
Zip : 32566-7406
Country : US
Telephone Number : 850-684-3257
Fax Number : 866-467-4424
Authorized Official
Title or Position : COO
Name : PATRICIA ADAMS
Credential :
Telephone Number : 850-910-0820
Provider Enumeration Date : 12/19/2012
Last Update Date : 03/05/2015

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Directions to “CARING HEARTS OF THE EMERALD COAST LLC ” Practice Location

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