Provider Demographics
NPI:1619756137
Name:QUEENME CARING HANDS
Entity Type:Organization
Organization Name:QUEENME CARING HANDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:CROUNSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-291-4246
Mailing Address - Street 1:379 CHENEY HWY UNIT 321
Mailing Address - Street 2:
Mailing Address - City:TITUSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32780-7272
Mailing Address - Country:US
Mailing Address - Phone:321-291-4246
Mailing Address - Fax:321-567-4127
Practice Address - Street 1:1015 ENGLISH ST
Practice Address - Street 2:
Practice Address - City:TITUSVILLE
Practice Address - State:FL
Practice Address - Zip Code:32796-2719
Practice Address - Country:US
Practice Address - Phone:321-291-4246
Practice Address - Fax:321-567-4127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-25
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No385H00000XRespite Care FacilityRespite Care