Provider Demographics
NPI:1841266020
Name:CARING HEART, INC
Entity type:Organization
Organization Name:CARING HEART, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:EDITH
Authorized Official - Middle Name:JOEWAN
Authorized Official - Last Name:BRUBAKER
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:724-479-3992
Mailing Address - Street 1:88 1/2 JUNIPER ST
Mailing Address - Street 2:
Mailing Address - City:HOMER CITY
Mailing Address - State:PA
Mailing Address - Zip Code:15748-1507
Mailing Address - Country:US
Mailing Address - Phone:724-479-3992
Mailing Address - Fax:724-479-2469
Practice Address - Street 1:88 1/2 JUNIPER ST
Practice Address - Street 2:
Practice Address - City:HOMER CITY
Practice Address - State:PA
Practice Address - Zip Code:15748-1507
Practice Address - Country:US
Practice Address - Phone:724-479-3992
Practice Address - Fax:724-479-2469
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-27
Last Update Date:2012-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA773205251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1261OtherBLUE CROSS/BLUE SHIELD
PA1261OtherBLUE CROSS/BLUE SHIELD