Provider Demographics
NPI:1417205733
Name:CARING AT HEART, LLC
Entity Type:Organization
Organization Name:CARING AT HEART, LLC
Other - Org Name:CARING COMPANIONS, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:SHANELE
Authorized Official - Last Name:SPELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-379-7510
Mailing Address - Street 1:2022 SPRINGDALE AVE
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28203-5367
Mailing Address - Country:US
Mailing Address - Phone:704-379-7510
Mailing Address - Fax:704-379-7511
Practice Address - Street 1:2022 SPRINGDALE AVE
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28203-5367
Practice Address - Country:US
Practice Address - Phone:704-379-7510
Practice Address - Fax:704-379-7511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-16
Last Update Date:2012-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC3945251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3418809Medicaid
NC6601950Medicaid