Provider Demographics
NPI:1205534294
Name:CARING HEARTS HOME CARE AGENCY, LLC
Entity type:Organization
Organization Name:CARING HEARTS HOME CARE AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:M
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:424-207-4725
Mailing Address - Street 1:904 N LA BREA AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90302-2234
Mailing Address - Country:US
Mailing Address - Phone:310-910-0111
Mailing Address - Fax:
Practice Address - Street 1:904 N LA BREA AVE STE 2
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90302-2234
Practice Address - Country:US
Practice Address - Phone:310-910-0111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-20
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care