Provider Demographics
NPI:1639930043
Name:JOYFUL HEARTS LLC
Entity Type:Organization
Organization Name:JOYFUL HEARTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CERISE
Authorized Official - Middle Name:C
Authorized Official - Last Name:COVINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-324-8122
Mailing Address - Street 1:2200 DUNBARTON DR STE A
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23325-4920
Mailing Address - Country:US
Mailing Address - Phone:757-324-8122
Mailing Address - Fax:
Practice Address - Street 1:2200 DUNBARTON DR STE A
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23325-4920
Practice Address - Country:US
Practice Address - Phone:757-324-8122
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services