Provider Demographics
NPI:1497272579
Name:HEARTS AND HANDS OF HOPE AND COMPASSION LLC
Entity Type:Organization
Organization Name:HEARTS AND HANDS OF HOPE AND COMPASSION LLC
Other - Org Name:HEARTS AND HANDS OF HOPE AND COMPASSION LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAMIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:MANNING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-408-7620
Mailing Address - Street 1:922 E MCDONALD AVE
Mailing Address - Street 2:
Mailing Address - City:EUSTIS
Mailing Address - State:FL
Mailing Address - Zip Code:32726-3702
Mailing Address - Country:US
Mailing Address - Phone:352-408-7620
Mailing Address - Fax:
Practice Address - Street 1:922 E MCDONALD AVE
Practice Address - Street 2:
Practice Address - City:EUSTIS
Practice Address - State:FL
Practice Address - Zip Code:32726-3702
Practice Address - Country:US
Practice Address - Phone:352-408-7620
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261QD1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL020325200Medicaid