Provider Demographics
NPI:1083362677
Name:CARING HEARTS PERSONAL HOME CARE LLC
Entity Type:Organization
Organization Name:CARING HEARTS PERSONAL HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALAYNA
Authorized Official - Middle Name:MONG
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-577-7187
Mailing Address - Street 1:621 W LAWRENCE ST STE 102
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54911-5834
Mailing Address - Country:US
Mailing Address - Phone:715-577-7187
Mailing Address - Fax:
Practice Address - Street 1:621 W LAWRENCE ST STE 102
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54911-5834
Practice Address - Country:US
Practice Address - Phone:715-577-7187
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-14
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care