Provider Demographics
NPI:1295468361
Name:HONEST HEARTS HEALTHCARE LLC
Entity Type:Organization
Organization Name:HONEST HEARTS HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:D
Authorized Official - Last Name:STIMAGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-368-0596
Mailing Address - Street 1:27 ORVIETO CT
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63031-8626
Mailing Address - Country:US
Mailing Address - Phone:314-398-8652
Mailing Address - Fax:
Practice Address - Street 1:27 ORVIETO CT
Practice Address - Street 2:
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63031-8626
Practice Address - Country:US
Practice Address - Phone:314-398-8652
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-06
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health