Provider Demographics
NPI:1821666934
Name:FOUR HEARTS HEALTHCARE SOLUTIONS LLC
Entity Type:Organization
Organization Name:FOUR HEARTS HEALTHCARE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LANEIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-677-3086
Mailing Address - Street 1:10120 S EASTERN AVE STE 207
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-3926
Mailing Address - Country:US
Mailing Address - Phone:702-677-3086
Mailing Address - Fax:
Practice Address - Street 1:10120 S EASTERN AVE STE 207
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-3926
Practice Address - Country:US
Practice Address - Phone:702-677-3087
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-15
Last Update Date:2023-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care