Healthcare Provider Details

I. General information

NPI: 1134325897
Provider Name (Legal Business Name): CARING HEARTS HEALTHCARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2007
Last Update Date: 10/29/2021
Certification Date: 10/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

290 BIEHL RD
HAMDEN CT
06518-2456
US

IV. Provider business mailing address

290 BIEHL RD
HAMDEN CT
06518-2456
US

V. Phone/Fax

Practice location:
  • Phone: 203-430-3355
  • Fax: 203-287-8439
Mailing address:
  • Phone: 203-430-3355
  • Fax: 203-287-8439

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number028588
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number028588
License Number StateCT

VIII. Authorized Official

Name: MRS. REGINA FOLASADE MIMIKO
Title or Position: DIRECTOR
Credential: LPN
Phone: 203-430-3355