Provider Demographics
NPI:1508629841
Name:HEARTBEAT HOME CARE LLC
Entity Type:Organization
Organization Name:HEARTBEAT HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NADIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LITVINOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-655-3278
Mailing Address - Street 1:5227 W REVENTON DR # B102
Mailing Address - Street 2:
Mailing Address - City:SOUTH JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84009-1801
Mailing Address - Country:US
Mailing Address - Phone:801-655-3278
Mailing Address - Fax:
Practice Address - Street 1:5227 W REVENTON DR # B102
Practice Address - Street 2:
Practice Address - City:SOUTH JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84009-1801
Practice Address - Country:US
Practice Address - Phone:801-655-3278
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-31
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care