Provider Demographics
NPI:1649248881
Name:CARING HEARTS OF WICHITA INC.
Entity type:Organization
Organization Name:CARING HEARTS OF WICHITA INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:CARVER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:316-634-6999
Mailing Address - Street 1:7130 W. MAPLE
Mailing Address - Street 2:STE 200B
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67209-2101
Mailing Address - Country:US
Mailing Address - Phone:316-634-6999
Mailing Address - Fax:316-634-6566
Practice Address - Street 1:7130 W. MAPLE
Practice Address - Street 2:STE 200B
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67209-2101
Practice Address - Country:US
Practice Address - Phone:316-634-6999
Practice Address - Fax:316-634-6566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-14
Last Update Date:2017-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSA087066251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS10029810AMedicaid
KS385980OtherFIRST GUARD
KS1464OtherBCBS
KS10029810AMedicaid