Provider Demographics
NPI:1497466189
Name:5HEARTBEATSLLC
Entity Type:Organization
Organization Name:5HEARTBEATSLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPN
Authorized Official - Prefix:
Authorized Official - First Name:CHEVONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRANTLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-693-1002
Mailing Address - Street 1:3706 MONFORT HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45247-8024
Mailing Address - Country:US
Mailing Address - Phone:513-693-1002
Mailing Address - Fax:
Practice Address - Street 1:3706 MONFORT HEIGHTS DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45247-8024
Practice Address - Country:US
Practice Address - Phone:513-693-1002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-13
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty