Provider Demographics
NPI:1265846570
Name:CARING HEARTS HOME HEALTH CARE
Entity Type:Organization
Organization Name:CARING HEARTS HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:IDIAT
Authorized Official - Middle Name:
Authorized Official - Last Name:SANNI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-423-4132
Mailing Address - Street 1:3517 LANGREHR RD
Mailing Address - Street 2:SUITE 205A
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21244-3067
Mailing Address - Country:US
Mailing Address - Phone:240-423-4132
Mailing Address - Fax:
Practice Address - Street 1:3517 LANGREHR RD
Practice Address - Street 2:SUITE 205A
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21244-3067
Practice Address - Country:US
Practice Address - Phone:240-423-4132
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-13
Last Update Date:2014-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR3657251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health