Provider Demographics
NPI:1851680524
Name:CARING HEARTS HOME HEALTHCARE
Entity Type:Organization
Organization Name:CARING HEARTS HOME HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHAYLA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:CNA/HHA
Authorized Official - Phone:248-636-9103
Mailing Address - Street 1:12814 LONGACRE ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48227-1225
Mailing Address - Country:US
Mailing Address - Phone:248-636-3103
Mailing Address - Fax:
Practice Address - Street 1:12814 LONGACRE ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48227-1225
Practice Address - Country:US
Practice Address - Phone:248-636-3103
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-04
Last Update Date:2011-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health