Provider Demographics
NPI:1184805970
Name:FLORIDA CARING HANDS CORP.
Entity type:Organization
Organization Name:FLORIDA CARING HANDS CORP.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:RN/BSN ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY ANN
Authorized Official - Middle Name:B
Authorized Official - Last Name:VINARTA
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:386-698-1444
Mailing Address - Street 1:2301 S HIGHWAY 17
Mailing Address - Street 2:FLORIDA CARING HANDS CORP. DBA APPLEHOUSE 2
Mailing Address - City:CRESCENT CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32112
Mailing Address - Country:US
Mailing Address - Phone:386-698-1444
Mailing Address - Fax:386-698-2537
Practice Address - Street 1:2301 S. HIGHWAY 17
Practice Address - Street 2:APPLEHOUSE 2
Practice Address - City:CRESCENT CITY
Practice Address - State:FL
Practice Address - Zip Code:32112-3933
Practice Address - Country:US
Practice Address - Phone:386-698-1444
Practice Address - Fax:386-698-2537
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-20
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL9265310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL691280100Medicaid
FL142757100Medicaid