MEDICARE: CARING HEARTS CDS, INC.

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184975583
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARING HEARTS CDS, INC.

Provider Business Mailing Address
First Line	:	8944 NATURAL BRIDGE RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63121-3917
Country	:	US
Telephone Number	:	314-426-9319
Fax Number	:	314-426-9321

Provider Business Practice Location Address
First Line	:	8944 NATURAL BRIDGE RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63121-3917
Country	:	US
Telephone Number	:	314-426-9319
Fax Number	:	314-426-9321

Authorized Official
Title or Position	:	COO
Name	:	MRS. TIFFANY S JACKSON
Credential	:	RN, BSN, MBA
Telephone Number	:	314-426-9319

Provider Enumeration Date	:	09/25/2012
Last Update Date	:	06/06/2023

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Directions to “CARING HEARTS CDS, INC. ” Practice Location

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