Provider Demographics
NPI:1437824166
Name:COMFORTING, LOVING & HELPING HANDS
Entity Type:Organization
Organization Name:COMFORTING, LOVING & HELPING HANDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NETRENA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-610-9002
Mailing Address - Street 1:PO BOX 705
Mailing Address - Street 2:
Mailing Address - City:CLARCONA
Mailing Address - State:FL
Mailing Address - Zip Code:32710-0705
Mailing Address - Country:US
Mailing Address - Phone:863-617-9355
Mailing Address - Fax:877-797-7978
Practice Address - Street 1:415 E MAIN ST STE 213
Practice Address - Street 2:
Practice Address - City:BARTOW
Practice Address - State:FL
Practice Address - Zip Code:33830-4703
Practice Address - Country:US
Practice Address - Phone:863-617-9355
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMFORTING, LOVING AND HELPING HANDS AGENCY, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-08-13
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL106630601Medicaid