Provider Demographics
NPI:1316343650
Name:CARING HANDS & OPEN HEARTS, LLC
Entity type:Organization
Organization Name:CARING HANDS & OPEN HEARTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KUNTA
Authorized Official - Middle Name:KINTE
Authorized Official - Last Name:MANNING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-731-8799
Mailing Address - Street 1:6487 SPRING ST
Mailing Address - Street 2:
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30134-1896
Mailing Address - Country:US
Mailing Address - Phone:404-731-8799
Mailing Address - Fax:888-633-2339
Practice Address - Street 1:5751 UPTAIN RD STE 105
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37411-5671
Practice Address - Country:US
Practice Address - Phone:423-509-1494
Practice Address - Fax:866-830-7191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-14
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003265219AMedicaid