Provider Demographics
NPI:1972274512
Name:HEART 2 HART ASSISTED LIVING LLC
Entity Type:Organization
Organization Name:HEART 2 HART ASSISTED LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ALM
Authorized Official - Prefix:
Authorized Official - First Name:SHEMETRICS
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-570-7463
Mailing Address - Street 1:627 GLENWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21212-4233
Mailing Address - Country:US
Mailing Address - Phone:443-570-7463
Mailing Address - Fax:
Practice Address - Street 1:627 GLENWOOD AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21212-4233
Practice Address - Country:US
Practice Address - Phone:443-570-7463
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-23
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility