Provider Demographics
NPI:1093596207
Name:HEART OF CARE
Entity Type:Organization
Organization Name:HEART OF CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEPUTY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MAPENZI
Authorized Official - Middle Name:KASHUSHA
Authorized Official - Last Name:KAHINDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-289-6152
Mailing Address - Street 1:253 SAINT JOHN ST APT 1
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04102-3015
Mailing Address - Country:US
Mailing Address - Phone:207-409-6232
Mailing Address - Fax:
Practice Address - Street 1:14566 COLLINGHAM PL
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:VA
Practice Address - Zip Code:20155-6203
Practice Address - Country:US
Practice Address - Phone:515-289-6152
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-12
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services