Healthcare Provider Details

I. General information

NPI: 1801173067
Provider Name (Legal Business Name): CARING HEARTS ADULT DAY CENTER,INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2011
Last Update Date: 11/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1234 STATE AVE
KANSAS CITY KS
66102-4413
US

IV. Provider business mailing address

1234 STATE AVE
KANSAS CITY KS
66102-4413
US

V. Phone/Fax

Practice location:
  • Phone: 913-621-3108
  • Fax: 913-321-7387
Mailing address:
  • Phone: 913-621-3108
  • Fax: 913-321-7387

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License NumberB105133
License Number StateKS

VIII. Authorized Official

Name: LAWRENCE CRAIG
Title or Position: DIRECTOR
Credential:
Phone: 913-486-9025