Provider Demographics
NPI:1326354168
Name:CARING HEARTS OF DUNLAP
Entity Type:Organization
Organization Name:CARING HEARTS OF DUNLAP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:R
Authorized Official - Last Name:HOBART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-240-1530
Mailing Address - Street 1:PO BOX 1375
Mailing Address - Street 2:
Mailing Address - City:DUNLAP
Mailing Address - State:TN
Mailing Address - Zip Code:37327-1375
Mailing Address - Country:US
Mailing Address - Phone:423-949-8573
Mailing Address - Fax:423-949-8321
Practice Address - Street 1:15227 RANKIN AVE
Practice Address - Street 2:
Practice Address - City:DUNLAP
Practice Address - State:TN
Practice Address - Zip Code:37327-7051
Practice Address - Country:US
Practice Address - Phone:423-949-8573
Practice Address - Fax:423-949-8321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-30
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
253Z00000X
TN261QA0600X261QA0600X
TNC40T385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNH445481Medicaid