Provider Demographics
NPI:1194197178
Name:CARING HEARTS HOME CARE AGENCY
Entity Type:Organization
Organization Name:CARING HEARTS HOME CARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:MAE
Authorized Official - Last Name:IHENYEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-702-2054
Mailing Address - Street 1:2220 CAPITAL BLVD
Mailing Address - Street 2:STE 206
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27604-1476
Mailing Address - Country:US
Mailing Address - Phone:919-803-3101
Mailing Address - Fax:
Practice Address - Street 1:2220 CAPITAL BLVD
Practice Address - Street 2:STE 206
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27604-1476
Practice Address - Country:US
Practice Address - Phone:919-803-3101
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-29
Last Update Date:2015-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC4799253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care