Provider Demographics
NPI:1245943729
Name:BIG HEARTS LLC
Entity type:Organization
Organization Name:BIG HEARTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO - ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ADENIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:IBIYEMI-ALUKO
Authorized Official - Suffix:
Authorized Official - Credentials:BACHELORS; MASTERS
Authorized Official - Phone:623-521-3420
Mailing Address - Street 1:10426 W PIMA ST
Mailing Address - Street 2:
Mailing Address - City:TOLLESON
Mailing Address - State:AZ
Mailing Address - Zip Code:85353-1362
Mailing Address - Country:US
Mailing Address - Phone:623-215-2159
Mailing Address - Fax:623-248-5400
Practice Address - Street 1:10426 W PIMA ST
Practice Address - Street 2:
Practice Address - City:TOLLESON
Practice Address - State:AZ
Practice Address - Zip Code:85353-1362
Practice Address - Country:US
Practice Address - Phone:623-215-2159
Practice Address - Fax:623-248-5400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-29
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health