Provider Demographics
NPI:1104171990
Name:CARING HEARTS, INC.
Entity type:Organization
Organization Name:CARING HEARTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SULLIVAN
Authorized Official - Suffix:
Authorized Official - Credentials:R35896
Authorized Official - Phone:479-495-5151
Mailing Address - Street 1:PO BOX 627
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72833-0627
Mailing Address - Country:US
Mailing Address - Phone:479-495-5151
Mailing Address - Fax:479-495-5561
Practice Address - Street 1:1408 EAST 8TH STREET
Practice Address - Street 2:SUITE C
Practice Address - City:DANVILLE
Practice Address - State:AR
Practice Address - Zip Code:72833
Practice Address - Country:US
Practice Address - Phone:479-495-5151
Practice Address - Fax:479-495-5561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-17
Last Update Date:2012-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR192062765251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management