Provider Demographics
NPI:1104031475
Name:HEARTFELT HOMECARE, LLC
Entity Type:Organization
Organization Name:HEARTFELT HOMECARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR - CO-OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:GARRARD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:740-622-8300
Mailing Address - Street 1:1100 FAIRY FALLS DR
Mailing Address - Street 2:SUITE 5
Mailing Address - City:COSHOCTON
Mailing Address - State:OH
Mailing Address - Zip Code:43812-2803
Mailing Address - Country:US
Mailing Address - Phone:740-622-8300
Mailing Address - Fax:740-622-8305
Practice Address - Street 1:1100 FAIRY FALLS DR
Practice Address - Street 2:SUITE 5
Practice Address - City:COSHOCTON
Practice Address - State:OH
Practice Address - Zip Code:43812-2803
Practice Address - Country:US
Practice Address - Phone:740-622-8300
Practice Address - Fax:740-622-8305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1575031251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health