Provider Demographics
NPI:1255149183
Name:GOODHEARTS HOME HEALTH LLC
Entity type:Organization
Organization Name:GOODHEARTS HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:AWES
Authorized Official - Middle Name:H
Authorized Official - Last Name:KOSHIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-615-2858
Mailing Address - Street 1:1495 MORSE RD STE 311
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-6438
Mailing Address - Country:US
Mailing Address - Phone:614-615-2858
Mailing Address - Fax:614-615-2858
Practice Address - Street 1:1495 MORSE RD STE 311
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-6438
Practice Address - Country:US
Practice Address - Phone:614-615-2858
Practice Address - Fax:614-615-2858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-23
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health