Provider Demographics
NPI:1972866119
Name:A CARING CONNEXTION, INC
Entity Type:Organization
Organization Name:A CARING CONNEXTION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:KEYA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:BRANDON
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:321-377-8809
Mailing Address - Street 1:2729 DORADO CT
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32703-5959
Mailing Address - Country:US
Mailing Address - Phone:321-377-8809
Mailing Address - Fax:
Practice Address - Street 1:1655 E SEMORAN BLVD
Practice Address - Street 2:SUITE #28
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-5624
Practice Address - Country:US
Practice Address - Phone:321-377-8809
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-22
Last Update Date:2012-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL230698253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL6937314Medicaid