MEDICARE: CARING HANDS ALF AND HOMECARE

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251J00000X	Nursing Care Agency
2	253Z00000X	In Home Supportive Care Agency
3	343900000X	Non-emergency Medical Transport (VAN)
4	376J00000X	Homemaker
5	385H00000X	Respite Care
6	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care
7	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1669289021
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARING HANDS ALF AND HOMECARE

Provider Business Mailing Address
First Line	:	2443 BROWNWOOD DR
Second Line	:
City	:	MULBERRY
State	:	FL
Zip	:	33860-5510
Country	:	US
Telephone Number	:	863-660-5454
Fax Number	:

Provider Business Practice Location Address
First Line	:	238 N MASSACHUSETTS AVE # G17
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33801-4987
Country	:	US
Telephone Number	:	863-309-6200
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	SHELLY ANN PHILLIPS
Credential	:
Telephone Number	:	863-309-6200

Provider Enumeration Date	:	12/18/2024
Last Update Date	:	12/18/2024

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