Provider Demographics
NPI:1467589127
Name:CARING HEARTS HOME CARE AGENCY
Entity Type:Organization
Organization Name:CARING HEARTS HOME CARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KARENA
Authorized Official - Middle Name:
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-630-2025
Mailing Address - Street 1:1620 CLINTON RD STE D
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28312-5368
Mailing Address - Country:US
Mailing Address - Phone:910-630-2025
Mailing Address - Fax:910-630-5079
Practice Address - Street 1:1620 CLINTON RD STE D
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28312-5368
Practice Address - Country:US
Practice Address - Phone:910-630-2025
Practice Address - Fax:910-630-5079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6601578Medicaid
NC3418331Medicaid