Provider Demographics
NPI:1730333535
Name:CARING HEARTS HOME HEALTHCARE, LLC
Entity type:Organization
Organization Name:CARING HEARTS HOME HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:DOBSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-381-5470
Mailing Address - Street 1:P.O. BOX 580
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:TN
Mailing Address - Zip Code:38402
Mailing Address - Country:US
Mailing Address - Phone:931-381-5470
Mailing Address - Fax:931-381-5132
Practice Address - Street 1:807 NASHVILLE HIGHWAY
Practice Address - Street 2:SUITE 10
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401
Practice Address - Country:US
Practice Address - Phone:931-381-5470
Practice Address - Fax:931-381-5132
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-06
Last Update Date:2018-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNL000000010903311Z00000X
TNL438-058-8267253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNH445268Medicaid