Healthcare Provider Details

I. General information

NPI: 1740410570
Provider Name (Legal Business Name): CARING HEARTS SITTING SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2009
Last Update Date: 07/14/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3204 NORTH GENERAL WAINWRIGHT DRIVE
LAKE CHARLES LA
70615-8138
US

IV. Provider business mailing address

3204 NORTH GENERAL WAINWRIGHT DRIVE
LAKE CHARLES LA
70615-8138
US

V. Phone/Fax

Practice location:
  • Phone: 337-564-4745
  • Fax:
Mailing address:
  • Phone: 337-564-4745
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. SHEMA TAREESE FORSYTHE
Title or Position: CO-OWNER OF CARING HEARTS SITTING S
Credential:
Phone: 337-564-4745