Provider Demographics
NPI:1699934315
Name:HEARTFELT HOME CARE OF DISTRICT 3, INC.
Entity type:Organization
Organization Name:HEARTFELT HOME CARE OF DISTRICT 3, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:T
Authorized Official - Last Name:MCCASKILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-956-1880
Mailing Address - Street 1:4305 VINELAND ROAD
Mailing Address - Street 2:SUITE G-16A
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32811-7303
Mailing Address - Country:US
Mailing Address - Phone:407-956-1880
Mailing Address - Fax:407-826-1988
Practice Address - Street 1:255 CITRUS TOWER BLVD
Practice Address - Street 2:SUITE 204
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-2756
Practice Address - Country:US
Practice Address - Phone:352-241-0771
Practice Address - Fax:352-241-9290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-06
Last Update Date:2012-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health