Provider Demographics
NPI:1891538369
Name:CARING HEART HOME CARE SERVICES LLC
Entity type:Organization
Organization Name:CARING HEART HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:FEZA
Authorized Official - Middle Name:NNEO
Authorized Official - Last Name:NGANDU
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:314-428-9796
Mailing Address - Street 1:10619 E GRANTVIEW DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63123-3920
Mailing Address - Country:US
Mailing Address - Phone:314-428-9796
Mailing Address - Fax:314-428-9840
Practice Address - Street 1:10619 E GRANTVIEW DR
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63123-3920
Practice Address - Country:US
Practice Address - Phone:314-428-9796
Practice Address - Fax:314-428-9840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-13
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health