Provider Demographics
NPI:1588195416
Name:CARING HEARTS SPECIAL CARE, INC.
Entity Type:Organization
Organization Name:CARING HEARTS SPECIAL CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LISSETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:NAPOLES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:305-553-9974
Mailing Address - Street 1:8210 W FLAGLER ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-2028
Mailing Address - Country:US
Mailing Address - Phone:305-553-9974
Mailing Address - Fax:305-553-9975
Practice Address - Street 1:8210 W FLAGLER ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2028
Practice Address - Country:US
Practice Address - Phone:305-553-9974
Practice Address - Fax:305-553-9975
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-22
Last Update Date:2017-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL60081029251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL60081029OtherAHCA STATE LICENSE AS A PPEC