Provider Demographics
NPI:1215196654
Name:CARING HEARTS PCA
Entity Type:Organization
Organization Name:CARING HEARTS PCA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:YOUNG
Authorized Official - Last Name:JENKINS
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:225-268-4911
Mailing Address - Street 1:4360 NORTH ST
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-3326
Mailing Address - Country:US
Mailing Address - Phone:225-346-6715
Mailing Address - Fax:225-346-6753
Practice Address - Street 1:4360 NORTH ST
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-3326
Practice Address - Country:US
Practice Address - Phone:225-346-6715
Practice Address - Fax:225-346-6753
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-02
Last Update Date:2008-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA15045251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based