MEDICARE: CARING HEARTS HOMECARE AGENCY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1003572587
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARING HEARTS HOMECARE AGENCY

Provider Business Mailing Address
First Line	:	3305 SOUTHMONT DR
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36105-1729
Country	:	US
Telephone Number	:	251-369-2788
Fax Number	:

Provider Business Practice Location Address
First Line	:	3305 SOUTHMONT DR
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36105-1729
Country	:	US
Telephone Number	:	251-369-2788
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SYLVIA A BRINSON
Credential	:
Telephone Number	:	251-369-2788

Provider Enumeration Date	:	11/09/2021
Last Update Date	:	11/09/2021

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