Provider Demographics
NPI:1407922131
Name:HAVE A HEART HEALTH CARE LTD.
Entity Type:Organization
Organization Name:HAVE A HEART HEALTH CARE LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RIZALINO
Authorized Official - Middle Name:B
Authorized Official - Last Name:MERCADO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:708-479-6555
Mailing Address - Street 1:18319 DISTINCTIVE DR
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60467-9461
Mailing Address - Country:US
Mailing Address - Phone:708-479-6555
Mailing Address - Fax:708-478-8878
Practice Address - Street 1:18319 DISTINCTIVE DR
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60467-9461
Practice Address - Country:US
Practice Address - Phone:708-479-6555
Practice Address - Fax:708-478-8878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-27
Last Update Date:2009-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL147823Medicare ID - Type Unspecified