Provider Demographics
NPI:1780843037
Name:CARING HEARTS HOME HEALTH CARE, LLC
Entity Type:Organization
Organization Name:CARING HEARTS HOME HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE
Authorized Official - Phone:918-790-8234
Mailing Address - Street 1:1223 E CHEROKEE AVE
Mailing Address - Street 2:SUITE # 9
Mailing Address - City:SALLISAW
Mailing Address - State:OK
Mailing Address - Zip Code:74955-5238
Mailing Address - Country:US
Mailing Address - Phone:918-790-2834
Mailing Address - Fax:
Practice Address - Street 1:1223 E CHEROKEE AVE
Practice Address - Street 2:SUITE # 9
Practice Address - City:SALLISAW
Practice Address - State:OK
Practice Address - Zip Code:74955-5238
Practice Address - Country:US
Practice Address - Phone:918-790-2834
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARING HEARTS HEALTH CARE SOLUTIONS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-06-02
Last Update Date:2008-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health