Provider Demographics
NPI:1083015010
Name:CARING HEART NURSING SERVICES LLC
Entity Type:Organization
Organization Name:CARING HEART NURSING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN,BSN
Authorized Official - Prefix:
Authorized Official - First Name:LILIBETH
Authorized Official - Middle Name:B
Authorized Official - Last Name:LIM
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE-MUL
Authorized Official - Phone:703-459-6150
Mailing Address - Street 1:4824 GAINSBOROUGH DR
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22032
Mailing Address - Country:US
Mailing Address - Phone:703-459-6150
Mailing Address - Fax:703-896-3040
Practice Address - Street 1:4824 GAINSBOROUGH DR
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22032
Practice Address - Country:US
Practice Address - Phone:703-459-6150
Practice Address - Fax:703-896-3040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-09
Last Update Date:2014-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001188736163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty