Provider Demographics
NPI:1548734866
Name:BIG HEARTS LLC
Entity Type:Organization
Organization Name:BIG HEARTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:
Authorized Official - Last Name:THORNS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-826-8042
Mailing Address - Street 1:8045 MISTY CANYON AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-3683
Mailing Address - Country:US
Mailing Address - Phone:702-826-8042
Mailing Address - Fax:
Practice Address - Street 1:8045 MISTY CANYON AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-3683
Practice Address - Country:US
Practice Address - Phone:702-826-8042
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-20
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health