Provider Demographics
NPI:1629367719
Name:EMBRACING CONCEPTS
Entity Type:Organization
Organization Name:EMBRACING CONCEPTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-434-9704
Mailing Address - Street 1:32432 QUIET HARBOR AVE
Mailing Address - Street 2:UNIT 201
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34788-8720
Mailing Address - Country:US
Mailing Address - Phone:352-434-9704
Mailing Address - Fax:352-787-8994
Practice Address - Street 1:32432 QUIET HARBOR AVE
Practice Address - Street 2:UNIT 201
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34788-8720
Practice Address - Country:US
Practice Address - Phone:352-434-9704
Practice Address - Fax:352-787-8994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-29
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL002411700251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health