MEDICARE: CARING HEART ADULT SERVICES CENTER 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
2	3747P1801X	Personal Care Attendant

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	:	1407022007
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARING HEART ADULT SERVICES CENTER LLC

Provider Business Mailing Address
First Line	:	9738 LACKLAND RD
Second Line	:
City	:	OVERLAND
State	:	MO
Zip	:	63114-3424
Country	:	US
Telephone Number	:	314-428-4020
Fax Number	:	314-695-5113

Provider Business Practice Location Address
First Line	:	9742 LACKLAND RD # 63114
Second Line	:
City	:	OVERLAND
State	:	MO
Zip	:	63114-3424
Country	:	US
Telephone Number	:	314-428-4020
Fax Number	:	314-695-5699

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MS. DANA R. CAREY
Credential	:
Telephone Number	:	314-428-4020

Provider Enumeration Date	:	05/03/2008
Last Update Date	:	03/31/2026

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Directions to “CARING HEART ADULT SERVICES CENTER LLC ” Practice Location

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