Provider Demographics
NPI:1134325897
Name:CARING HEARTS HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:CARING HEARTS HEALTHCARE SERVICES LLC
Other - Org Name:EXCEL S&S HEALTHCARE SERVICES LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:FOLASADE
Authorized Official - Last Name:MIMIKO
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:203-430-3355
Mailing Address - Street 1:290 BIEHL RD
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06518-2456
Mailing Address - Country:US
Mailing Address - Phone:203-430-3355
Mailing Address - Fax:203-287-8439
Practice Address - Street 1:290 BIEHL RD
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06518-2456
Practice Address - Country:US
Practice Address - Phone:203-430-3355
Practice Address - Fax:203-287-8439
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-21
Last Update Date:2021-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT028588251E00000X, 251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care