Provider Demographics
NPI:1871539874
Name:MARCOT FARMS INC. DBA/CARING HEARTS
Entity type:Organization
Organization Name:MARCOT FARMS INC. DBA/CARING HEARTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/V.P./ADM./CFO
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:HARDGRAVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:432-213-4803
Mailing Address - Street 1:1900 SCURRY ST
Mailing Address - Street 2:
Mailing Address - City:BIG SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:79720-5452
Mailing Address - Country:US
Mailing Address - Phone:432-714-4510
Mailing Address - Fax:432-714-4511
Practice Address - Street 1:1900 SCURRY ST
Practice Address - Street 2:
Practice Address - City:BIG SPRING
Practice Address - State:TX
Practice Address - Zip Code:79720-5452
Practice Address - Country:US
Practice Address - Phone:432-714-4510
Practice Address - Fax:432-714-4511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009211251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
45-3188Medicare ID - Type Unspecified