Provider Demographics
NPI:1568168979
Name:HEART CORE LLC
Entity Type:Organization
Organization Name:HEART CORE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:FLICKINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-678-3871
Mailing Address - Street 1:P.O BOX 252
Mailing Address - Street 2:
Mailing Address - City:COLE CAMP
Mailing Address - State:MO
Mailing Address - Zip Code:65325
Mailing Address - Country:US
Mailing Address - Phone:660-668-3140
Mailing Address - Fax:660-668-0108
Practice Address - Street 1:517 N. OAK ST
Practice Address - Street 2:
Practice Address - City:COLE CAMP
Practice Address - State:MO
Practice Address - Zip Code:65325
Practice Address - Country:US
Practice Address - Phone:660-668-3140
Practice Address - Fax:660-668-0108
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEART CORE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-02-07
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home