Provider Demographics
NPI:1558877639
Name:COMBINED HEARTS
Entity Type:Organization
Organization Name:COMBINED HEARTS
Other - Org Name:COMBINED HEARTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARLINGTON
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-444-4112
Mailing Address - Street 1:205 MARION OAKS TRL
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34473-7971
Mailing Address - Country:US
Mailing Address - Phone:904-444-4112
Mailing Address - Fax:
Practice Address - Street 1:205 MARION OAKS TRL
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34473-7971
Practice Address - Country:US
Practice Address - Phone:904-444-4112
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-27
Last Update Date:2017-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty