MEDICARE: KIRA'S CARING HEARTS, LLC

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1346476843
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KIRA'S CARING HEARTS, LLC

Provider Business Mailing Address
First Line	:	501 VALLEYBROOK RD
Second Line	:	SUITE 106
City	:	MC MURRAY
State	:	PA
Zip	:	15317-3428
Country	:	US
Telephone Number	:	724-941-8860
Fax Number	:	724-941-8955

Provider Business Practice Location Address
First Line	:	501 VALLEYBROOK RD
Second Line	:	SUITE 106
City	:	MC MURRAY
State	:	PA
Zip	:	15317-3428
Country	:	US
Telephone Number	:	724-941-8860
Fax Number	:	724-941-8955

Authorized Official
Title or Position	:	OWNER/SOLE MEMBER LLC
Name	:	MS. KIRA RUDOLPH
Credential	:
Telephone Number	:	724-941-8860

Provider Enumeration Date	:	06/10/2009
Last Update Date	:	06/10/2009

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