Provider Demographics
NPI:1043602477
Name:MY HEART, INC
Entity Type:Organization
Organization Name:MY HEART, INC
Other - Org Name:HAND IN HAND HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CODI
Authorized Official - Middle Name:NICHOLE
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-662-8287
Mailing Address - Street 1:32401 8 MILE RD
Mailing Address - Street 2:LL 12
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48151
Mailing Address - Country:US
Mailing Address - Phone:248-662-8287
Mailing Address - Fax:248-609-9061
Practice Address - Street 1:32401 8 MILE RD
Practice Address - Street 2:LL 12
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48151
Practice Address - Country:US
Practice Address - Phone:248-662-8287
Practice Address - Fax:248-609-9061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-23
Last Update Date:2018-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health