Provider Demographics
NPI:1144802406
Name:ENHEARTENKARE, LLC
Entity Type:Organization
Organization Name:ENHEARTENKARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BERNARD
Authorized Official - Middle Name:
Authorized Official - Last Name:WIREDU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:979-335-5937
Mailing Address - Street 1:20251 TARPON BAY LN
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-5177
Mailing Address - Country:US
Mailing Address - Phone:832-248-6657
Mailing Address - Fax:
Practice Address - Street 1:20251 TARPON BAY LN
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-5177
Practice Address - Country:US
Practice Address - Phone:832-248-6657
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-26
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care