MEDICARE: CARING HEARTS AGENCY, INC

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	3747P1801X	Personal Care Attendant
2	251E00000X	Home Health Agency	6697	MO
3	253Z00000X	In Home Supportive Care Agency

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
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639146707
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARING HEARTS AGENCY, INC

Provider Business Mailing Address
First Line	:	8944 NATURAL BRIDGE RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63121-3917
Country	:	US
Telephone Number	:	314-426-1901
Fax Number	:	314-426-1830

Provider Business Practice Location Address
First Line	:	8944 NATURAL BRIDGE RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63121-3917
Country	:	US
Telephone Number	:	314-426-1901
Fax Number	:	314-426-1830

Authorized Official
Title or Position	:	ADMINISTRATOR/CEO
Name	:	MRS. MARY J HICKMON
Credential	:	R.N., B.S.N., N.P.
Telephone Number	:	314-426-1901

Provider Enumeration Date	:	03/07/2006
Last Update Date	:	05/30/2023

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Directions to “CARING HEARTS AGENCY, INC ” Practice Location

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