Provider Demographics
NPI:1851006860
Name:CARING MAGNIFICENT HEART'S & TESTING FACILITY
Entity Type:Organization
Organization Name:CARING MAGNIFICENT HEART'S & TESTING FACILITY
Other - Org Name:CARING MAGNIFICENT HEART'S & TESTING FACILITY
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:COLLECTION TECH
Authorized Official - Phone:216-417-0340
Mailing Address - Street 1:26300 EUCLID AVE STE 205
Mailing Address - Street 2:
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44132-3708
Mailing Address - Country:US
Mailing Address - Phone:216-417-0340
Mailing Address - Fax:
Practice Address - Street 1:26300 EUCLID AVE STE 205
Practice Address - Street 2:
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44132-3708
Practice Address - Country:US
Practice Address - Phone:440-334-4634
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-16
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374700000XNursing Service Related ProvidersTechnicianGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty