MEDICARE: CARING HANDS & HEART, LLC

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	251C00000X	Developmentally Disabled Services Day Training Agency	PCA 6942	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164611182
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARING HANDS & HEART, LLC

Provider Business Mailing Address
First Line	:	PO BOX 1061
Second Line	:	5491 NAFF
City	:	BASTROP
State	:	LA
Zip	:	71221-1061
Country	:	US
Telephone Number	:	318-281-0014
Fax Number	:	318-281-0208

Provider Business Practice Location Address
First Line	:	5491 NAFF STREET
Second Line	:
City	:	BASTROP
State	:	LA
Zip	:	71221-1061
Country	:	US
Telephone Number	:	318-281-0014
Fax Number	:	318-281-0208

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. AUDREY DELOSHA RAYFORD
Credential	:	RN
Telephone Number	:	318-281-0014

Provider Enumeration Date	:	10/16/2007
Last Update Date	:	10/16/2007

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