Provider Demographics
NPI:1285197467
Name:HEART@HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:HEART@HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTAL
Authorized Official - Middle Name:L
Authorized Official - Last Name:SLADE
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LSW
Authorized Official - Phone:330-774-7999
Mailing Address - Street 1:527 ALTA PL NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44703-1236
Mailing Address - Country:US
Mailing Address - Phone:330-774-7999
Mailing Address - Fax:
Practice Address - Street 1:527 ALTA PL NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44703-1236
Practice Address - Country:US
Practice Address - Phone:330-774-7999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-13
Last Update Date:2019-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health