Healthcare Provider Details

I. General information

NPI: 1295431880
Provider Name (Legal Business Name): ONE HEART CARING HEARTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2023
Last Update Date: 02/06/2023
Certification Date: 02/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3325 WASHBURN AVE
CHARLOTTE NC
28205-7024
US

IV. Provider business mailing address

3325 WASHBURN AVE
CHARLOTTE NC
28205-7024
US

V. Phone/Fax

Practice location:
  • Phone: 704-806-2244
  • Fax:
Mailing address:
  • Phone: 704-806-2244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MRS. ANGELA MORROW
Title or Position: PRESIDENT
Credential:
Phone: 704-806-2244