Provider Demographics
NPI:1598642993
Name:HEALING BY NATURE SENIOR CARE, LLC
Entity type:Organization
Organization Name:HEALING BY NATURE SENIOR CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON-RILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-570-3348
Mailing Address - Street 1:1615 VILLAGE SQUARE BLVD STE 2
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32309-2770
Mailing Address - Country:US
Mailing Address - Phone:850-296-5662
Mailing Address - Fax:
Practice Address - Street 1:1615 VILLAGE SQUARE BLVD STE 2
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32309-2770
Practice Address - Country:US
Practice Address - Phone:850-296-5662
Practice Address - Fax:850-765-2848
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL113606200Medicaid