Provider Demographics
NPI:1417453788
Name:CARING HEART RESIDENTIAL CARE SERVICES
Entity Type:Organization
Organization Name:CARING HEART RESIDENTIAL CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADEDAMOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLAWON
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:401-316-5562
Mailing Address - Street 1:9343 MINERAL ROCK LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-2073
Mailing Address - Country:US
Mailing Address - Phone:401-316-5562
Mailing Address - Fax:
Practice Address - Street 1:9343 MINERAL ROCK LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-2073
Practice Address - Country:US
Practice Address - Phone:401-316-5562
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-04
Last Update Date:2018-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency