Provider Demographics
NPI: | 1043654049 |
---|---|
Name: | COMPASSIONATE HEARTS-SERVING HANDS, INC. |
Entity type: | Organization |
Organization Name: | COMPASSIONATE HEARTS-SERVING HANDS, INC. |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | BOARD MEMBER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | APRIL |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | RYMER |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | ARNP |
Authorized Official - Phone: | 954-739-7729 |
Mailing Address - Street 1: | 2300 NW 22ND ST |
Mailing Address - Street 2: | |
Mailing Address - City: | FORT LAUDERDALE |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 33311-2937 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 954-357-3405 |
Mailing Address - Fax: | 935-739-7705 |
Practice Address - Street 1: | 2300 NW 22ND ST |
Practice Address - Street 2: | |
Practice Address - City: | FORT LAUDERDALE |
Practice Address - State: | FL |
Practice Address - Zip Code: | 33311-2937 |
Practice Address - Country: | US |
Practice Address - Phone: | 954-357-3405 |
Practice Address - Fax: | 935-739-7705 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2013-04-20 |
Last Update Date: | 2013-04-20 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Single Specialty |