Provider Demographics
NPI:1164180428
Name:CARE WITH OPEN HEARTS LLC
Entity Type:Organization
Organization Name:CARE WITH OPEN HEARTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:MARSHA
Authorized Official - Last Name:PETITHOMME
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:407-885-9292
Mailing Address - Street 1:2727 SYNOTT RD APT 3007
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-3565
Mailing Address - Country:US
Mailing Address - Phone:407-885-9292
Mailing Address - Fax:
Practice Address - Street 1:2727 SYNOTT RD APT 3007
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-3565
Practice Address - Country:US
Practice Address - Phone:407-885-9292
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-03
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home