Provider Demographics
NPI:1821285131
Name:HEARTFELT HOMECARE CORPORATION
Entity Type:Organization
Organization Name:HEARTFELT HOMECARE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCALEER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-357-3216
Mailing Address - Street 1:2159 AVON INDUSTRIAL DR
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48309-3611
Mailing Address - Country:US
Mailing Address - Phone:800-357-3216
Mailing Address - Fax:586-228-2357
Practice Address - Street 1:2159 AVON INDUSTRIAL DR
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48309-3611
Practice Address - Country:US
Practice Address - Phone:800-357-3216
Practice Address - Fax:586-228-2357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI332B00000X, 332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI874352010Medicaid
MI4352010Medicaid
MI540F356820OtherBLUE CROSS BLUE SHIELD OF MICHIGAN
MI4352010Medicaid