Healthcare Provider Details

I. General information

NPI: 1386531507
Provider Name (Legal Business Name): CARING HEARTS AND HANDS NURSING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2025
Last Update Date: 07/15/2025
Certification Date: 07/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 S MICHIGAN AVE
CHICAGO IL
60616-2857
US

IV. Provider business mailing address

2600 S MICHIGAN AVE
CHICAGO IL
60616-2857
US

V. Phone/Fax

Practice location:
  • Phone: 773-680-9832
  • Fax:
Mailing address:
  • Phone: 773-680-9832
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. KATRINA SMITH
Title or Position: CRED MGR
Credential:
Phone: 855-276-5212