Provider Demographics
NPI:1164288833
Name:HERITAGE HEARTS HOMECARE LLC
Entity Type:Organization
Organization Name:HERITAGE HEARTS HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEANA
Authorized Official - Middle Name:
Authorized Official - Last Name:EAKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-655-0024
Mailing Address - Street 1:3025 WESTWOOD NORTHERN BLVD APT 12
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45211-3625
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2345 ASHLAND AVE # 1021
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45206-2204
Practice Address - Country:US
Practice Address - Phone:513-655-0024
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-21
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health