Healthcare Provider Details

I. General information

NPI: 1780374025
Provider Name (Legal Business Name): CARING HEARTS SENIOR CARE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2023
Last Update Date: 05/10/2023
Certification Date: 05/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

561 FREEDOM TRL # 561
BRUNSWICK GA
31525-4713
US

IV. Provider business mailing address

561 FREEDOM TRL # 561
BRUNSWICK GA
31525-4713
US

V. Phone/Fax

Practice location:
  • Phone: 912-602-4250
  • Fax:
Mailing address:
  • Phone: 912-602-4250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MRS. EFFIE WEST
Title or Position: OWNER
Credential:
Phone: 912-602-4250