Provider Demographics
NPI:1902511231
Name:CARING HEARTS PRIVATE CARE LLC
Entity Type:Organization
Organization Name:CARING HEARTS PRIVATE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:AMEDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:804-564-2374
Mailing Address - Street 1:405 SAN PEDRO AVE SW
Mailing Address - Street 2:
Mailing Address - City:PALM BAY
Mailing Address - State:FL
Mailing Address - Zip Code:32908-3436
Mailing Address - Country:US
Mailing Address - Phone:804-564-2374
Mailing Address - Fax:
Practice Address - Street 1:405 SAN PEDRO AVE SW
Practice Address - Street 2:
Practice Address - City:PALM BAY
Practice Address - State:FL
Practice Address - Zip Code:32908-3436
Practice Address - Country:US
Practice Address - Phone:804-564-2374
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-20
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health