Provider Demographics
NPI:1437699782
Name:CARING HEARTS OF CALIFORNIA INC
Entity type:Organization
Organization Name:CARING HEARTS OF CALIFORNIA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT/CASE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLS CABBILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-678-6164
Mailing Address - Street 1:4959 PALO VERDE ST
Mailing Address - Street 2:103A-10
Mailing Address - City:MONTCLAIR
Mailing Address - State:CA
Mailing Address - Zip Code:91763-2331
Mailing Address - Country:US
Mailing Address - Phone:909-678-6164
Mailing Address - Fax:
Practice Address - Street 1:4959 PALO VERDE ST
Practice Address - Street 2:103A-10
Practice Address - City:MONTCLAIR
Practice Address - State:CA
Practice Address - Zip Code:91763-2331
Practice Address - Country:US
Practice Address - Phone:909-678-6164
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-06
Last Update Date:2017-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty