Provider Demographics
NPI:1477166460
Name:CARING HEARTS OF GEORGIA HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:CARING HEARTS OF GEORGIA HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LORIA
Authorized Official - Middle Name:R
Authorized Official - Last Name:REDD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-685-4416
Mailing Address - Street 1:PO BOX 72251
Mailing Address - Street 2:
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30271-2251
Mailing Address - Country:US
Mailing Address - Phone:470-685-4416
Mailing Address - Fax:
Practice Address - Street 1:37 CALUMET PARKWAY
Practice Address - Street 2:BLDG N SUITE 116
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30263
Practice Address - Country:US
Practice Address - Phone:770-755-6580
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-28
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251J00000XAgenciesNursing Care