MEDICARE: CARING HEARTS ADULT DAY CENTER,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	261QA0600X	Adult Day Care Clinic/Center	B105133	KS

General Provider Information

NPI Number	:	1801173067
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARING HEARTS ADULT DAY CENTER,INC.

Provider Business Mailing Address
First Line	:	1234 STATE AVE
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66102-4413
Country	:	US
Telephone Number	:	913-621-3108
Fax Number	:	913-321-7387

Provider Business Practice Location Address
First Line	:	1234 STATE AVE
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66102-4413
Country	:	US
Telephone Number	:	913-621-3108
Fax Number	:	913-321-7387

Authorized Official
Title or Position	:	DIRECTOR
Name	:	LAWRENCE CRAIG
Credential	:
Telephone Number	:	913-486-9025

Provider Enumeration Date	:	11/15/2011
Last Update Date	:	11/15/2011

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Directions to “CARING HEARTS ADULT DAY CENTER,INC. ” Practice Location

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