Provider Demographics
NPI:1417284266
Name:CARING AT HEART, LLC
Entity Type:Organization
Organization Name:CARING AT HEART, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:SHANELE
Authorized Official - Last Name:HEALY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-379-7510
Mailing Address - Street 1:8001 RAINTREE LN
Mailing Address - Street 2:STE 204
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-8920
Mailing Address - Country:US
Mailing Address - Phone:704-379-7510
Mailing Address - Fax:704-379-7511
Practice Address - Street 1:8001 RAINTREE LN
Practice Address - Street 2:STE 204
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-8920
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:2009-11-14
Last Update Date:2013-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC3945253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6601950Medicaid
NC3418809Medicaid