Healthcare Provider Details

I. General information

NPI: 1225874258
Provider Name (Legal Business Name): CARING HEARTS HOME HEALTH SERVICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2024
Last Update Date: 07/09/2024
Certification Date: 07/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

412 S CHANEY AVE
BRINKLEY AR
72021-3162
US

IV. Provider business mailing address

412 S CHANEY AVE
BRINKLEY AR
72021-3162
US

V. Phone/Fax

Practice location:
  • Phone: 501-626-3777
  • Fax:
Mailing address:
  • Phone: 501-626-3777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JOANNE JACKSON
Title or Position: OWNER
Credential:
Phone: 501-626-3777