=====================================================
General NPI Number Information
=====================================================
NPI Number | 1700885191
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CARING HEARTS, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/18/2005
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3674 SW TOPEKA BLVD
-----------------------------------------------------
City | TOPEKA
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 66611-2389
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 785-266-1353
-----------------------------------------------------
Fax | 785-267-6080
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3674 SW TOPEKA BLVD
-----------------------------------------------------
City | TOPEKA
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 66611-2388
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 785-266-1353
-----------------------------------------------------
Fax | 785-267-6080
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | MS. JESSIE LUCILLE BANKS
-----------------------------------------------------
Credential | RN
-----------------------------------------------------
Telephone | 785-266-1353
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | A089019
-----------------------------------------------------
License Number State | KS
-----------------------------------------------------