Provider Demographics
NPI:1972341212
Name:HEART AND SOUL CAREGIVERS
Entity type:Organization
Organization Name:HEART AND SOUL CAREGIVERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KEARK
Authorized Official - Middle Name:
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-675-7904
Mailing Address - Street 1:588 MOUNTAIN VIEW TER
Mailing Address - Street 2:
Mailing Address - City:MIDDLESEX
Mailing Address - State:NJ
Mailing Address - Zip Code:08846-1653
Mailing Address - Country:US
Mailing Address - Phone:201-675-7904
Mailing Address - Fax:
Practice Address - Street 1:588 MOUNTAIN VIEW TER
Practice Address - Street 2:
Practice Address - City:MIDDLESEX
Practice Address - State:NJ
Practice Address - Zip Code:08846-1653
Practice Address - Country:US
Practice Address - Phone:201-675-7904
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-19
Last Update Date:2024-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health