Provider Demographics
NPI:1124001672
Name:CARING HEARTS PERSONAL HOME SERVICES, INC
Entity Type:Organization
Organization Name:CARING HEARTS PERSONAL HOME SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:CRAIG
Authorized Official - Suffix:
Authorized Official - Credentials:DVM
Authorized Official - Phone:913-621-3108
Mailing Address - Street 1:1234 STATE AVE.
Mailing Address - Street 2:STE 375
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66102-4413
Mailing Address - Country:US
Mailing Address - Phone:913-621-3108
Mailing Address - Fax:913-321-7387
Practice Address - Street 1:1234 STATE AVE.
Practice Address - Street 2:STE 375
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66102-4413
Practice Address - Country:US
Practice Address - Phone:913-621-3108
Practice Address - Fax:913-321-7387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-29
Last Update Date:2011-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSA105-038251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100351080CMedicaid
KS100351080AMedicaid
KS100351080AMedicaid