Provider Demographics
NPI:1790884187
Name:HOMES WITH HEART, INC.
Entity Type:Organization
Organization Name:HOMES WITH HEART, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:IRVING
Authorized Official - Suffix:JR
Authorized Official - Credentials:NMD
Authorized Official - Phone:270-763-0030
Mailing Address - Street 1:519 N MILES ST
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42701-1875
Mailing Address - Country:US
Mailing Address - Phone:270-763-0030
Mailing Address - Fax:
Practice Address - Street 1:519 N MILES ST
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701-1875
Practice Address - Country:US
Practice Address - Phone:270-763-0030
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities