Healthcare Provider Details
I. General information
NPI: 1346476843
Provider Name (Legal Business Name): KIRA'S CARING HEARTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/10/2009
Last Update Date: 06/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
501 VALLEYBROOK RD SUITE 106
MC MURRAY PA
15317-3428
US
IV. Provider business mailing address
501 VALLEYBROOK RD SUITE 106
MC MURRAY PA
15317-3428
US
V. Phone/Fax
- Phone: 724-941-8860
- Fax: 724-941-8955
- Phone: 724-941-8860
- Fax: 724-941-8955
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name: MS.
KIRA
RUDOLPH
Title or Position: OWNER/SOLE MEMBER LLC
Credential:
Phone: 724-941-8860