Provider Demographics
NPI:1639146707
Name:CARING HEARTS AGENCY, INC
Entity Type:Organization
Organization Name:CARING HEARTS AGENCY, INC
Other - Org Name:HELPING HANDS CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:J
Authorized Official - Last Name:HICKMON
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN, NP
Authorized Official - Phone:314-426-1901
Mailing Address - Street 1:8944 NATURAL BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63121-3917
Mailing Address - Country:US
Mailing Address - Phone:314-426-1901
Mailing Address - Fax:314-426-1830
Practice Address - Street 1:8944 NATURAL BRIDGE RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63121-3917
Practice Address - Country:US
Practice Address - Phone:314-426-1901
Practice Address - Fax:314-426-1830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-07
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO6697251E00000X
253Z00000X, 3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No251E00000XAgenciesHome HealthGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO287713804Medicaid
MOM287713804Medicaid
MO267713808Medicaid
MO588578500Medicaid
MO267520Medicare Oscar/Certification