Provider Demographics
NPI:1962634998
Name:HEARTS FOR HEALTHCARE
Entity Type:Organization
Organization Name:HEARTS FOR HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MGR.
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:E
Authorized Official - Last Name:CAMERON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-660-3391
Mailing Address - Street 1:PO BOX 372
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:ME
Mailing Address - Zip Code:04927-0372
Mailing Address - Country:US
Mailing Address - Phone:207-660-3391
Mailing Address - Fax:
Practice Address - Street 1:105 GARCELON RD
Practice Address - Street 2:
Practice Address - City:BURNHAM
Practice Address - State:ME
Practice Address - Zip Code:04922-3626
Practice Address - Country:US
Practice Address - Phone:207-660-3391
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-09
Last Update Date:2009-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEAPPROVED251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health