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
1	251E00000X	Home Health Agency
2	253Z00000X	In Home Supportive Care Agency

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

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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