Organization
CARING HEARTS SUPPORTIVE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NATASHA DAWN DRAKE (CEO)
(931) 552-2769
Entity
Organization
Contact information
Practice address
808 KRAFT ST, SUITE D, CLARKSVILLE, TN 37040-4935
(931) 552-2769
(931) 553-8003
Mailing address
808 KRAFT ST, SUITE D, CLARKSVILLE, TN 37040-4935
(931) 552-2769
(931) 553-8003
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
TN
251C00000X
Developmentally Disabled Services Day Training Agency
L000000013100
TN
251T00000X
PACE Provider Organization
L000000013100
TN
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
L000000013100
TN
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
L000000013100
TN
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
L000000013100
TN
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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