Provider Demographics
NPI:1215191804
Name:CAROLINA HEARTS HOME CARE, LLC
Entity Type:Organization
Organization Name:CAROLINA HEARTS HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PERSON IN CHARGE
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRIGITTE
Authorized Official - Middle Name:VEATER
Authorized Official - Last Name:LANEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:910-277-2505
Mailing Address - Street 1:1025 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LAURINBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28352-4738
Mailing Address - Country:US
Mailing Address - Phone:910-277-2505
Mailing Address - Fax:910-277-2502
Practice Address - Street 1:1025 S MAIN ST
Practice Address - Street 2:
Practice Address - City:LAURINBURG
Practice Address - State:NC
Practice Address - Zip Code:28352-4738
Practice Address - Country:US
Practice Address - Phone:910-277-2505
Practice Address - Fax:910-277-2502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-14
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC01448332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies