Provider Demographics
NPI:1821625690
Name:LOVING HANDS CARING HEARTS NON-MEDICAL HOMEHEALTH
Entity Type:Organization
Organization Name:LOVING HANDS CARING HEARTS NON-MEDICAL HOMEHEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED NURSE ASSISTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:CRECIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WASHINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-486-6883
Mailing Address - Street 1:2172 DEER RUN TRL
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32246-1066
Mailing Address - Country:US
Mailing Address - Phone:904-486-6883
Mailing Address - Fax:904-738-8042
Practice Address - Street 1:2172 DEER RUN TRL
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32246-1066
Practice Address - Country:US
Practice Address - Phone:904-486-6883
Practice Address - Fax:904-738-8042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-23
Last Update Date:2020-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health