Provider Demographics
NPI:1760994511
Name:SOPHIA'S CHOICE HANDS THAT HELP, LLC
Entity Type:Organization
Organization Name:SOPHIA'S CHOICE HANDS THAT HELP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SOPHIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:BURTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-338-1978
Mailing Address - Street 1:13 BICKWICK LN
Mailing Address - Street 2:
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32137-9363
Mailing Address - Country:US
Mailing Address - Phone:386-264-6407
Mailing Address - Fax:386-264-6407
Practice Address - Street 1:13 BICKWICK LN
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32137-9363
Practice Address - Country:US
Practice Address - Phone:386-264-6407
Practice Address - Fax:386-264-6407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-02
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL6906835OtherBUSINESS LICENSE NUMBER