Provider Demographics
NPI:1780096487
Name:EMBRACING CONCEPTS
Entity type:Organization
Organization Name:EMBRACING CONCEPTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:HAYES
Authorized Official - Last Name:HAYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-434-9704
Mailing Address - Street 1:9602 SEAVIEW DR
Mailing Address - Street 2:APT 104
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34788-7698
Mailing Address - Country:US
Mailing Address - Phone:352-434-9704
Mailing Address - Fax:352-787-8994
Practice Address - Street 1:9602 SEAVIEW DR
Practice Address - Street 2:APT 104
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34788-7698
Practice Address - Country:US
Practice Address - Phone:352-434-9704
Practice Address - Fax:352-787-8994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-29
Last Update Date:2014-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL002411700385HR2060X
FL003176500251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child