Provider Demographics
NPI:1114452638
Name:CARING CONNECTIONS LLC
Entity Type:Organization
Organization Name:CARING CONNECTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:C
Authorized Official - Last Name:GAGNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-354-5336
Mailing Address - Street 1:3019 N SHANNON LAKES DR STE 204
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32309-4205
Mailing Address - Country:US
Mailing Address - Phone:850-354-5336
Mailing Address - Fax:850-999-7597
Practice Address - Street 1:3019 N SHANNON LAKES DR STE 204
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32309-4205
Practice Address - Country:US
Practice Address - Phone:850-354-5336
Practice Address - Fax:850-999-7597
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-21
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299994634251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL021274900Medicaid