Provider Demographics
NPI:1669128112
Name:CARING HEARTS ADULT CARE, LLC
Entity type:Organization
Organization Name:CARING HEARTS ADULT CARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LAKEZIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ACHILA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-522-8909
Mailing Address - Street 1:7312 DARSENA
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75054-6501
Mailing Address - Country:US
Mailing Address - Phone:972-522-8909
Mailing Address - Fax:
Practice Address - Street 1:820 E WINTERGREEN RD
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-2502
Practice Address - Country:US
Practice Address - Phone:972-522-8909
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-23
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living FacilityGroup - Single Specialty
No3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX20157632Medicaid