Provider Demographics
NPI:1093748865
Name:CARING HANDS HOME HEALTHCARE
Entity Type:Organization
Organization Name:CARING HANDS HOME HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ADEBUSOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:CORDOVA
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:8500-539-2335
Mailing Address - Street 1:313 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HAVANA
Mailing Address - State:FL
Mailing Address - Zip Code:32333-1652
Mailing Address - Country:US
Mailing Address - Phone:850-539-2335
Mailing Address - Fax:850-539-2334
Practice Address - Street 1:313 N MAIN ST
Practice Address - Street 2:
Practice Address - City:HAVANA
Practice Address - State:FL
Practice Address - Zip Code:32333-1652
Practice Address - Country:US
Practice Address - Phone:850-539-2335
Practice Address - Fax:850-539-2334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHHA29992179251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health