Provider Demographics
NPI:1477380327
Name:CNS HEARTS OF LOVE HOME CARE,LLC
Entity type:Organization
Organization Name:CNS HEARTS OF LOVE HOME CARE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:SOUTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-318-7392
Mailing Address - Street 1:3734 10TH STREET
Mailing Address - Street 2:
Mailing Address - City:ECORSE
Mailing Address - State:MI
Mailing Address - Zip Code:48229
Mailing Address - Country:US
Mailing Address - Phone:734-318-7392
Mailing Address - Fax:313-914-7333
Practice Address - Street 1:3734 10TH STREET
Practice Address - Street 2:
Practice Address - City:ECORSE
Practice Address - State:MI
Practice Address - Zip Code:48229
Practice Address - Country:US
Practice Address - Phone:734-318-7392
Practice Address - Fax:313-914-7333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-16
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty