Provider Demographics
NPI:1114294774
Name:CARING HEARTS SUPPORTIVE SERVICES
Entity Type:Organization
Organization Name:CARING HEARTS SUPPORTIVE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:LADAWN
Authorized Official - Last Name:LIGON-MANNING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-481-8791
Mailing Address - Street 1:6240 ROCKY TOP DR
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-5658
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2501 MCGAVOCK PIKE
Practice Address - Street 2:SUITE 203
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37214-1213
Practice Address - Country:US
Practice Address - Phone:615-481-8791
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-28
Last Update Date:2011-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1000000009865253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care