MEDICARE: CARING HEARTS BY OPHELIA, 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	251E00000X	Home Health Agency		CA

General Provider Information

NPI Number	:	1821245838
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARING HEARTS BY OPHELIA, INC.

Provider Business Mailing Address
First Line	:	PO BOX 10803
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91510-0803
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1801 N ALEXANDRIA AVE
Second Line	:	#15
City	:	LOS ANGELES
State	:	CA
Zip	:	90027-4031
Country	:	US
Telephone Number	:	132-366-1878
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	MS. OPHELIA AUSTIN
Credential	:
Telephone Number	:	13233774013

Provider Enumeration Date	:	08/20/2008
Last Update Date	:	08/20/2008

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