Provider Demographics
NPI:1497329478
Name:ELOUISE CARING HANDS HOMECARE SERVICES LLC
Entity Type:Organization
Organization Name:ELOUISE CARING HANDS HOMECARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:
Authorized Official - Last Name:D'HAITI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-332-4028
Mailing Address - Street 1:617 KANSAS AVE
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33815-4060
Mailing Address - Country:US
Mailing Address - Phone:186-333-2402
Mailing Address - Fax:
Practice Address - Street 1:617 KANSAS AVE
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33815-4060
Practice Address - Country:US
Practice Address - Phone:863-332-4028
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-14
Last Update Date:2021-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty