Provider Demographics
NPI:1457540874
Name:CARING HEARTS OF BOCA RATON,INC
Entity Type:Organization
Organization Name:CARING HEARTS OF BOCA RATON,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ELCUNE
Authorized Official - Middle Name:
Authorized Official - Last Name:THELISMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-427-9635
Mailing Address - Street 1:44 NE 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33441-3504
Mailing Address - Country:US
Mailing Address - Phone:954-427-9635
Mailing Address - Fax:954-427-9637
Practice Address - Street 1:44 NE 2ND AVE
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33441-3504
Practice Address - Country:US
Practice Address - Phone:954-427-9635
Practice Address - Fax:954-427-9637
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-22
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL230122251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health