Provider Demographics
NPI:1255757233
Name:CARING HEARTS HOME CARE LLC
Entity type:Organization
Organization Name:CARING HEARTS HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:
Authorized Official - Last Name:GOMILLER
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:662-385-6889
Mailing Address - Street 1:374 COUNTY ROAD 48
Mailing Address - Street 2:
Mailing Address - City:VAIDEN
Mailing Address - State:MS
Mailing Address - Zip Code:39176-5047
Mailing Address - Country:US
Mailing Address - Phone:662-385-6889
Mailing Address - Fax:662-464-0148
Practice Address - Street 1:374 COUNTY ROAD 48
Practice Address - Street 2:
Practice Address - City:VAIDEN
Practice Address - State:MS
Practice Address - Zip Code:39176-5047
Practice Address - Country:US
Practice Address - Phone:662-385-6889
Practice Address - Fax:662-464-0148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-13
Last Update Date:2014-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSP277002251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care