Healthcare Provider Details

I. General information

NPI: 1376893933
Provider Name (Legal Business Name): CARING HEARTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2012
Last Update Date: 09/11/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1620 PLEASANT #245
DES MOINES IA
50314
US

IV. Provider business mailing address

1620 PLEASANT #245
DES MOINES IA
50314
US

V. Phone/Fax

Practice location:
  • Phone: 515-897-5503
  • Fax:
Mailing address:
  • Phone:
  • 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 Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE TAYLOR-FRAZIER
Title or Position: EXEC DIRECTOR
Credential:
Phone: 515-897-5503