Provider Demographics
NPI:1891102711
Name:THE FAMILY ENRICHMENT CENTER, INC.
Entity Type:Organization
Organization Name:THE FAMILY ENRICHMENT CENTER, INC.
Other - Org Name:CARING HEART ADULT DAY CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:OLGA
Authorized Official - Middle Name:
Authorized Official - Last Name:STIRRUP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-237-2530
Mailing Address - Street 1:1002 E. DR.MARTIN LUTHER KING BLVD.
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33603
Mailing Address - Country:US
Mailing Address - Phone:813-237-2530
Mailing Address - Fax:813-231-7196
Practice Address - Street 1:5407 N 30TH ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33610-4414
Practice Address - Country:US
Practice Address - Phone:813-232-9659
Practice Address - Fax:813-231-7196
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-14
Last Update Date:2014-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9282261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL00964440Medicaid