Provider Demographics
NPI:1124544366
Name:EMPATHETIC HOMECARE, LLC
Entity Type:Organization
Organization Name:EMPATHETIC HOMECARE, LLC
Other - Org Name:EMPATHETIC HOME HEALTHCARE SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:
Authorized Official - First Name:KRISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:386-675-7233
Mailing Address - Street 1:9000 SAINT GEORGES RD APT 208
Mailing Address - Street 2:
Mailing Address - City:ORMOND BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32174-1125
Mailing Address - Country:US
Mailing Address - Phone:386-675-7233
Mailing Address - Fax:
Practice Address - Street 1:9000 SAINT GEORGES RD APT 208
Practice Address - Street 2:
Practice Address - City:ORMOND BEACH
Practice Address - State:FL
Practice Address - Zip Code:32174-1125
Practice Address - Country:US
Practice Address - Phone:386-675-7233
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EMPATHETIC INNOVATIVE HEALTH AND WELLNESS SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-08-18
Last Update Date:2017-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9437173163W00000X, 163WC0400X, 163WD0400X, 163WH0200X, 163WH1000X, 251E00000X, 372600000X, 376J00000X
FL947173163WA2000X, 251S00000X, 253Z00000X
FL943173251J00000X, 252Y00000X
311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty
No163WA2000XNursing Service ProvidersRegistered NurseAdministratorGroup - Single Specialty
No163WC0400XNursing Service ProvidersRegistered NurseCase ManagementGroup - Single Specialty
No163WD0400XNursing Service ProvidersRegistered NurseDiabetes EducatorGroup - Single Specialty
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty
No163WH1000XNursing Service ProvidersRegistered NurseHospiceGroup - Single Specialty
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No251S00000XAgenciesCommunity/Behavioral Health
No252Y00000XAgenciesEarly Intervention Provider AgencyGroup - Single Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty