Healthcare Provider Details

I. General information

NPI: 1326354168
Provider Name (Legal Business Name): CARING HEARTS OF DUNLAP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2010
Last Update Date: 09/27/2022
Certification Date: 09/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15227 RANKIN AVE
DUNLAP TN
37327-7051
US

IV. Provider business mailing address

PO BOX 1375
DUNLAP TN
37327-1375
US

V. Phone/Fax

Practice location:
  • Phone: 423-949-8573
  • Fax: 423-949-8321
Mailing address:
  • Phone: 423-949-8573
  • Fax: 423-949-8321

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number261QA0600X
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License NumberC40T
License Number StateTN
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. LINDA R HOBART
Title or Position: PRESIDENT
Credential:
Phone: 423-240-1530