Provider Demographics
NPI:1861266165
Name:BELOVED CARING HANDS HEALTHCARE AGENCY INC.
Entity type:Organization
Organization Name:BELOVED CARING HANDS HEALTHCARE AGENCY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:M
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-416-4050
Mailing Address - Street 1:7833 BRISTOL BAY LN E
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32244-6978
Mailing Address - Country:US
Mailing Address - Phone:190-480-3577
Mailing Address - Fax:
Practice Address - Street 1:7833 BRISTOL BAY LN E
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32244-6978
Practice Address - Country:US
Practice Address - Phone:190-480-3577
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-08
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health