Healthcare Provider Details

I. General information

NPI: 1962008078
Provider Name (Legal Business Name): CARING HEARTS SENIOR LIVING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2020
Last Update Date: 12/06/2020
Certification Date: 12/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

733 THIMBLE SHOALS BLVD STE 170
NEWPORT NEWS VA
23606-4260
US

IV. Provider business mailing address

733 THIMBLE SHOALS BLVD STE 170
NEWPORT NEWS VA
23606-4260
US

V. Phone/Fax

Practice location:
  • Phone: 757-782-4600
  • Fax: 800-520-5827
Mailing address:
  • Phone: 757-782-4600
  • Fax: 800-520-5827

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MRS. IRIS WRIGHT
Title or Position: OWNER
Credential:
Phone: 757-782-4600