Provider Demographics
NPI:1306433164
Name:CARING HEART HOME CARE, LLC
Entity type:Organization
Organization Name:CARING HEART HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY DIRECTOR/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:GAY
Authorized Official - Suffix:
Authorized Official - Credentials:BSNRNMA
Authorized Official - Phone:919-370-2216
Mailing Address - Street 1:PO BOX 261
Mailing Address - Street 2:
Mailing Address - City:KNIGHTDALE
Mailing Address - State:NC
Mailing Address - Zip Code:27545-0261
Mailing Address - Country:US
Mailing Address - Phone:919-370-2216
Mailing Address - Fax:
Practice Address - Street 1:7633 KNIGHTDALE BLVD STE 103
Practice Address - Street 2:
Practice Address - City:KNIGHTDALE
Practice Address - State:NC
Practice Address - Zip Code:27545-9015
Practice Address - Country:US
Practice Address - Phone:919-370-2216
Practice Address - Fax:919-234-5227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-28
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251S00000XAgenciesCommunity/Behavioral Health