Healthcare Provider Details

I. General information

NPI: 1194632430
Provider Name (Legal Business Name): CARING HEARTS HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 PIEDMONT AVE NE APT 1605
ATLANTA GA
30308-3444
US

IV. Provider business mailing address

450 PIEDMONT AVE NE APT 1605
ATLANTA GA
30308-3444
US

V. Phone/Fax

Practice location:
  • Phone: 202-246-1022
  • Fax:
Mailing address:
  • Phone: 202-246-1022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. MASHAWN GRAHAM
Title or Position: OWNER
Credential:
Phone: 202-246-1022