Provider Demographics
NPI:1164618930
Name:CARING HEART HOME CARE AGENCY LLC
Entity Type:Organization
Organization Name:CARING HEART HOME CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/LPN SUPERVISOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHERRELL
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCOY
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE
Authorized Official - Phone:864-527-0480
Mailing Address - Street 1:PO BOX 16674
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29606-7674
Mailing Address - Country:US
Mailing Address - Phone:864-527-0480
Mailing Address - Fax:864-527-0481
Practice Address - Street 1:33 MARKET POINT DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-5768
Practice Address - Country:US
Practice Address - Phone:864-527-0480
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-14
Last Update Date:2007-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health