Provider Demographics
NPI:1841561073
Name:A CARING HEART, LLC
Entity Type:Organization
Organization Name:A CARING HEART, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-458-0921
Mailing Address - Street 1:4154 SHERIDAN MEADOWS DRIVE
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63034-3485
Mailing Address - Country:US
Mailing Address - Phone:314-458-0921
Mailing Address - Fax:866-274-3210
Practice Address - Street 1:4154 SHERIDAN MEADOWS DR
Practice Address - Street 2:
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63034-3485
Practice Address - Country:US
Practice Address - Phone:314-458-0921
Practice Address - Fax:866-274-3210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-19
Last Update Date:2012-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOLC1197363251E00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health