Provider Demographics
NPI:1710382445
Name:CLAPPING HANDS IN YOUR HOME
Entity Type:Organization
Organization Name:CLAPPING HANDS IN YOUR HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRANDI
Authorized Official - Middle Name:
Authorized Official - Last Name:MYRICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-704-6942
Mailing Address - Street 1:3999 24TH ST W
Mailing Address - Street 2:203
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34205-4400
Mailing Address - Country:US
Mailing Address - Phone:941-704-6942
Mailing Address - Fax:941-758-7238
Practice Address - Street 1:3999 24TH ST W
Practice Address - Street 2:203
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34205-4400
Practice Address - Country:US
Practice Address - Phone:941-704-6942
Practice Address - Fax:941-758-7238
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-23
Last Update Date:2014-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL233174302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization