Provider Demographics
NPI:1619435856
Name:HEARTFELT HOME CARE SERVICES, LLC
Entity Type:Organization
Organization Name:HEARTFELT HOME CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:K
Authorized Official - Middle Name:
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-932-7788
Mailing Address - Street 1:8011 CLAYTON RD STE 105
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63117-1156
Mailing Address - Country:US
Mailing Address - Phone:314-932-7788
Mailing Address - Fax:312-228-2282
Practice Address - Street 1:8011 CLAYTON RD STE 105
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63117-1156
Practice Address - Country:US
Practice Address - Phone:314-932-7788
Practice Address - Fax:312-228-2282
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-06
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health