MEDICARE: CAREFUL HEARTS

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	:	1801244991
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAREFUL HEARTS

Provider Business Mailing Address
First Line	:	2520 THOMASON CIR APT 259
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76006-5030
Country	:	US
Telephone Number	:	214-675-3203
Fax Number	:

Provider Business Practice Location Address
First Line	:	2520 THOMASON CIR APT 259
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76006-5030
Country	:	US
Telephone Number	:	214-675-3203
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KEVIN LAMARR PRINCE
Credential	:
Telephone Number	:	214-675-3203

Provider Enumeration Date	:	05/30/2016
Last Update Date	:	05/30/2016

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Directions to “CAREFUL HEARTS ” Practice Location

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