Provider Demographics
NPI:1306225420
Name:HEALING HEARTS HOME CARE LLC
Entity Type:Organization
Organization Name:HEALING HEARTS HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:WESTENDORF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-546-6265
Mailing Address - Street 1:4160 RENWOOD DR
Mailing Address - Street 2:
Mailing Address - City:KETTERING
Mailing Address - State:OH
Mailing Address - Zip Code:45429-4648
Mailing Address - Country:US
Mailing Address - Phone:614-546-6265
Mailing Address - Fax:
Practice Address - Street 1:6834 LOOP RD
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:45459-2159
Practice Address - Country:US
Practice Address - Phone:614-546-6265
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-21
Last Update Date:2015-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care