Provider Demographics
NPI:1174060644
Name:CARING HEARTS HOME HEALTH LLC.
Entity type:Organization
Organization Name:CARING HEARTS HOME HEALTH LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-789-8498
Mailing Address - Street 1:314 S HIGH ST
Mailing Address - Street 2:
Mailing Address - City:CALIFORNIA
Mailing Address - State:MO
Mailing Address - Zip Code:65018-1808
Mailing Address - Country:US
Mailing Address - Phone:573-789-8498
Mailing Address - Fax:636-600-5079
Practice Address - Street 1:314 S HIGH ST
Practice Address - Street 2:
Practice Address - City:CALIFORNIA
Practice Address - State:MO
Practice Address - Zip Code:65018-1808
Practice Address - Country:US
Practice Address - Phone:573-789-8498
Practice Address - Fax:636-600-5079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-23
Last Update Date:2017-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health