Provider Demographics
NPI:1598054181
Name:HEALTHCARE PRACTITIONERS, INC.
Entity Type:Organization
Organization Name:HEALTHCARE PRACTITIONERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT - CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:GISELE
Authorized Official - Last Name:JACKS
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP-C
Authorized Official - Phone:727-812-8584
Mailing Address - Street 1:1548 SOUTH MISSOURI AVENUE
Mailing Address - Street 2:SUITE 128
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33756-2237
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1421 S EVERGREEN AVE
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-2212
Practice Address - Country:US
Practice Address - Phone:727-812-8584
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-04
Last Update Date:2011-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No251J00000XAgenciesNursing Care
No251S00000XAgenciesCommunity/Behavioral Health
No282N00000XHospitalsGeneral Acute Care Hospital