Provider Demographics
NPI:1588415632
Name:C.N.E HEALTHCARE,LLC
Entity type:Organization
Organization Name:C.N.E HEALTHCARE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TEQUILA
Authorized Official - Middle Name:MONOA
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:CERTIFIED NURSE AIDE
Authorized Official - Phone:717-331-7371
Mailing Address - Street 1:1940 SADDLEWOOD CT
Mailing Address - Street 2:
Mailing Address - City:BARTOW
Mailing Address - State:FL
Mailing Address - Zip Code:33830-2916
Mailing Address - Country:US
Mailing Address - Phone:717-331-7371
Mailing Address - Fax:
Practice Address - Street 1:1045 US HIGHWAY 17 S
Practice Address - Street 2:
Practice Address - City:BARTOW
Practice Address - State:FL
Practice Address - Zip Code:33830-6027
Practice Address - Country:US
Practice Address - Phone:717-331-7371
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-28
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health