Provider Demographics
NPI:1265081954
Name:TRACEYS LOVING CARE, LLC
Entity type:Organization
Organization Name:TRACEYS LOVING CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TRACEY
Authorized Official - Middle Name:A
Authorized Official - Last Name:HENDRIX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-326-1111
Mailing Address - Street 1:PO BOX 185
Mailing Address - Street 2:
Mailing Address - City:TARPON SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34688-0185
Mailing Address - Country:US
Mailing Address - Phone:727-326-2211
Mailing Address - Fax:
Practice Address - Street 1:5006 TROUBLE CREEK RD STE 233
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-4939
Practice Address - Country:US
Practice Address - Phone:877-510-2611
Practice Address - Fax:877-510-2611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-05
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
No253Z00000XAgenciesIn Home Supportive Care