Provider Demographics
NPI:1295449783
Name:A PIECE OF MY HEART LLC
Entity type:Organization
Organization Name:A PIECE OF MY HEART LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHENIKA
Authorized Official - Middle Name:LOUANN
Authorized Official - Last Name:RAY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:813-454-8710
Mailing Address - Street 1:935 N BENEVA RD STE 609-1018
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34232-1397
Mailing Address - Country:US
Mailing Address - Phone:813-454-8710
Mailing Address - Fax:
Practice Address - Street 1:935 N BENEVA RD STE 609-1018
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34232-1397
Practice Address - Country:US
Practice Address - Phone:813-454-8710
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-09
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care