Provider Demographics
NPI:1851088850
Name:KAY'S HEART LLC
Entity Type:Organization
Organization Name:KAY'S HEART LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CARE WORKER
Authorized Official - Prefix:
Authorized Official - First Name:KATARA
Authorized Official - Middle Name:M
Authorized Official - Last Name:MOFFETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-499-7873
Mailing Address - Street 1:2403 N 36TH ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53210-3040
Mailing Address - Country:US
Mailing Address - Phone:414-499-7873
Mailing Address - Fax:
Practice Address - Street 1:2403 N 36TH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53210-3040
Practice Address - Country:US
Practice Address - Phone:414-499-7873
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-19
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based