Provider Demographics
NPI:1184383671
Name:HEART FOR SENIORS LLC
Entity type:Organization
Organization Name:HEART FOR SENIORS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ CNA
Authorized Official - Prefix:
Authorized Official - First Name:ANNABELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNG
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:808-341-3886
Mailing Address - Street 1:1193 ALA NAPUNANI STREET
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96818
Mailing Address - Country:US
Mailing Address - Phone:808-341-3886
Mailing Address - Fax:
Practice Address - Street 1:1193 ALA NAPUNANI STREET
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96818
Practice Address - Country:US
Practice Address - Phone:808-341-3886
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-11
Last Update Date:2021-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HICP575AOtherNUMBER OF IRS NORTICE