MEDICARE: CARING HEART

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1134979651
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARING HEART

Provider Business Mailing Address
First Line	:	3121 ARROWWOOD DR
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46815-6403
Country	:	US
Telephone Number	:	260-417-6324
Fax Number	:

Provider Business Practice Location Address
First Line	:	3121 ARROWWOOD DR
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46815-6403
Country	:	US
Telephone Number	:	260-417-6324
Fax Number	:

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	LORETTA MONTGOMERY
Credential	:
Telephone Number	:	260-417-6324

Provider Enumeration Date	:	03/26/2024
Last Update Date	:	04/29/2024

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Directions to “CARING HEART ” Practice Location

Language	Start Address	Practice Location

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