Healthcare Provider Details

I. General information

NPI: 1750532149
Provider Name (Legal Business Name): TINA RENA HARTLEIN DBA CARING HANDS IN HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2008
Last Update Date: 06/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16287 US HIGHWAY 61
MATTHEWS MO
63867-9120
US

IV. Provider business mailing address

16287 US HIGHWAY 61
MATTHEWS MO
63867-9120
US

V. Phone/Fax

Practice location:
  • Phone: 573-472-8175
  • Fax: 573-481-2074
Mailing address:
  • Phone: 573-472-8175
  • Fax: 573-481-2074

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MRS. TINA RENA HARTLEIN
Title or Position: OWNER
Credential:
Phone: 573-472-8175