Provider Demographics
NPI:1669649125
Name:CARING HANDS & HEART LLC
Entity Type:Organization
Organization Name:CARING HANDS & HEART LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AUDREY
Authorized Official - Middle Name:DELOSHA
Authorized Official - Last Name:RAYFORD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:318-281-0014
Mailing Address - Street 1:PO BOX 1061
Mailing Address - Street 2:
Mailing Address - City:BASTROP
Mailing Address - State:LA
Mailing Address - Zip Code:71221-1061
Mailing Address - Country:US
Mailing Address - Phone:318-281-0014
Mailing Address - Fax:318-281-0208
Practice Address - Street 1:5491 NAFF ST
Practice Address - Street 2:
Practice Address - City:BASTROP
Practice Address - State:LA
Practice Address - Zip Code:71221
Practice Address - Country:US
Practice Address - Phone:318-281-0014
Practice Address - Fax:318-281-0208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-14
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPCA 6942372500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372500000XNursing Service Related ProvidersChore ProviderGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1509035Medicaid