Provider Demographics
NPI:1225526619
Name:CARING HEART HOME HEALTH LLC
Entity Type:Organization
Organization Name:CARING HEART HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED AGENT
Authorized Official - Prefix:
Authorized Official - First Name:BERNARD
Authorized Official - Middle Name:O
Authorized Official - Last Name:SPOONER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:813-992-7867
Mailing Address - Street 1:5010 MAYFIELD RD STE 301
Mailing Address - Street 2:
Mailing Address - City:LYNDHURST
Mailing Address - State:OH
Mailing Address - Zip Code:44124-2697
Mailing Address - Country:US
Mailing Address - Phone:614-231-2442
Mailing Address - Fax:
Practice Address - Street 1:5010 MAYFIELD RD STE 301
Practice Address - Street 2:
Practice Address - City:LYNDHURST
Practice Address - State:OH
Practice Address - Zip Code:44124-2697
Practice Address - Country:US
Practice Address - Phone:614-231-2442
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARING HEART GROUP LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-05-01
Last Update Date:2018-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health