Provider Demographics
NPI:1861746364
Name:WARM HEARTS CARE OPTIONS
Entity type:Organization
Organization Name:WARM HEARTS CARE OPTIONS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:NYASHA
Authorized Official - Middle Name:D
Authorized Official - Last Name:KANJANDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-365-7316
Mailing Address - Street 1:10579 CEDAR GROVE RD
Mailing Address - Street 2:STE 140
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-8376
Mailing Address - Country:US
Mailing Address - Phone:615-365-7316
Mailing Address - Fax:615-823-7793
Practice Address - Street 1:10579 CEDAR GROVE RD
Practice Address - Street 2:STE 140
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-8376
Practice Address - Country:US
Practice Address - Phone:615-365-7316
Practice Address - Fax:615-823-7793
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-05
Last Update Date:2015-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNL000000016202253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNH445717Medicaid