Healthcare Provider Details

I. General information

NPI: 1164331302
Provider Name (Legal Business Name): CARING HEARTS HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 PIEDMONT AVE NE
ATLANTA GA
30308-3455
US

IV. Provider business mailing address

450 PIEDMONT AVE NE
ATLANTA GA
30308-3455
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 Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

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