Provider Demographics
NPI:1356356075
Name:ALL ABOUT HEALING, LLC
Entity type:Organization
Organization Name:ALL ABOUT HEALING, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:MCAULIFFE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-391-1795
Mailing Address - Street 1:3016 US HWY 301 N
Mailing Address - Street 2:#900
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33619
Mailing Address - Country:US
Mailing Address - Phone:813-623-6415
Mailing Address - Fax:813-626-4296
Practice Address - Street 1:3016 US HWY 301 N
Practice Address - Street 2:#900
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33619
Practice Address - Country:US
Practice Address - Phone:813-623-6415
Practice Address - Fax:813-626-4296
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2009-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992277251E00000X
FL299992159251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL651307700Medicaid
FL651307700Medicaid
108296Medicare Oscar/Certification