Provider Demographics
NPI:1124499348
Name:CARING HEARTS CARETAKING
Entity type:Organization
Organization Name:CARING HEARTS CARETAKING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:M
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:424-207-4725
Mailing Address - Street 1:713 N MARKET ST
Mailing Address - Street 2:5
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90302-2352
Mailing Address - Country:US
Mailing Address - Phone:424-207-4725
Mailing Address - Fax:
Practice Address - Street 1:713 N MARKET STREET
Practice Address - Street 2:5
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90302
Practice Address - Country:US
Practice Address - Phone:424-207-4725
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-14
Last Update Date:2015-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2015249208251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health