Provider Demographics
NPI:1164908901
Name:CARING HEART HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:CARING HEART HOME HEALTHCARE LLC
Other - Org Name:CARING HEART HOME HEALTHCARE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF CLINICAL SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:BERNARD
Authorized Official - Middle Name:O
Authorized Official - Last Name:SPOONER
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:813-992-7867
Mailing Address - Street 1:11440 HAMILTON AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-1180
Mailing Address - Country:US
Mailing Address - Phone:517-974-3018
Mailing Address - Fax:
Practice Address - Street 1:11440 HAMILTON AVE STE 204
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-1180
Practice Address - Country:US
Practice Address - Phone:517-974-3018
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARING HEART GROUP LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-07-16
Last Update Date:2018-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health