Provider Demographics
NPI:1790566214
Name:HASTEN HEARTS LLC
Entity Type:Organization
Organization Name:HASTEN HEARTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:STONE
Authorized Official - Middle Name:HAMABWE
Authorized Official - Last Name:KABWE
Authorized Official - Suffix:
Authorized Official - Credentials:CNP
Authorized Official - Phone:952-994-6434
Mailing Address - Street 1:5050 HOLLY LN N UNIT 2
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55446-1761
Mailing Address - Country:US
Mailing Address - Phone:952-297-6434
Mailing Address - Fax:
Practice Address - Street 1:5050 HOLLY LN N UNIT 2
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55446-1761
Practice Address - Country:US
Practice Address - Phone:952-297-6434
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-10
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service