Provider Demographics
NPI:1194529800
Name:CARING HEARTS HOME CARE LLC
Entity type:Organization
Organization Name:CARING HEARTS HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:CLARA
Authorized Official - Middle Name:K
Authorized Official - Last Name:BALLAH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:763-600-9792
Mailing Address - Street 1:1848 39TH ST S APT 303
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58103-4437
Mailing Address - Country:US
Mailing Address - Phone:763-600-9792
Mailing Address - Fax:
Practice Address - Street 1:1848 39TH ST S APT 303
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-4437
Practice Address - Country:US
Practice Address - Phone:763-600-9792
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care