Provider Demographics
NPI:1922471150
Name:CARING HEARTS LLC
Entity Type:Organization
Organization Name:CARING HEARTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOHNNIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:WORLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-387-5765
Mailing Address - Street 1:3114 MERCEDES DR
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-5154
Mailing Address - Country:US
Mailing Address - Phone:318-387-5765
Mailing Address - Fax:
Practice Address - Street 1:3114 MERCEDES DR
Practice Address - Street 2:3114 MERCEDES DR.
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-5154
Practice Address - Country:US
Practice Address - Phone:318-387-5765
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-10
Last Update Date:2015-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA253Z00000X253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care