Caring Heart Care Coordination Agency LLC

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

CARING HEART CARE COORDINATION AGENCY LLC

Practice address

804 Silver Oak Dr
Bakersfield, CA 93312-4045

Phone

(661) 364-5473

NPI assigned

Mar 26, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Frederick Goodwill

Title

Ceo

Phone

(661) 364-5473

Specialties & licenses 1

Addresses

Other names 1

• CARING HEART CCA LLC Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1285484899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SILVER OAK DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933124045",
            "telephone_number": "661-364-5473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 SILVER OAK DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933124045",
            "telephone_number": "661-364-5473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING HEART CARE COORDINATION AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "GOODWILL",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-364-5473"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARING HEART CCA LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Case Manager/Care Coordinator in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.