Provider Demographics
NPI:1326224965
Name:HEARTS WITH INTEGRITY LLC
Entity Type:Organization
Organization Name:HEARTS WITH INTEGRITY LLC
Other - Org Name:HEARTS WITH INTEGRITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:J
Authorized Official - Last Name:ROBLES
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:800-217-7102
Mailing Address - Street 1:603 E NORTH STREET
Mailing Address - Street 2:
Mailing Address - City:HARTFORD CITY
Mailing Address - State:IN
Mailing Address - Zip Code:47348-1806
Mailing Address - Country:US
Mailing Address - Phone:800-217-7102
Mailing Address - Fax:888-276-4795
Practice Address - Street 1:603 E NORTH STREET
Practice Address - Street 2:
Practice Address - City:HARTFORD CITY
Practice Address - State:IN
Practice Address - Zip Code:47348-1806
Practice Address - Country:US
Practice Address - Phone:800-217-7102
Practice Address - Fax:888-276-4795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-14
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08-006650-1251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200900870AMedicaid
IN200900870AMedicaid