Organization · NPI-2

Caring Hearts Of Grace Homecare Agency, LLC

Home Health · Concord, NC

NPI number1598430100
StatusActive
Last updated in NPPESDec 19, 2022

Details

NPI
1598430100
Entity type
Organization (NPI-2)
Legal business name
Caring Hearts Of Grace Homecare Agency, LLC
Organization subpart
No
Enumeration date
Aug 16, 2021
Certification date
Dec 19, 2022
Last updated
Dec 19, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes
253Z00000X In Home Supportive Care––

Practice location

294 Church St N
Concord, NC 28025-4571

Phone 980-237-8845 · Fax 980-237-8845

Mailing address

1085 Hearth Ln Sw
Concord, NC 28025-8809

Phone 980-237-8845 · Fax 980-237-8845

Authorized official

Lequitha Simmons
Owner
9803345367

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