Provider Demographics
NPI:1265268700
Name:RAVISHING HEARTS PERSONAL CARE LLC
Entity type:Organization
Organization Name:RAVISHING HEARTS PERSONAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TEISHA
Authorized Official - Middle Name:L
Authorized Official - Last Name:BELTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-765-6200
Mailing Address - Street 1:3815 RIVER CROSSING PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46240-7766
Mailing Address - Country:US
Mailing Address - Phone:317-765-6200
Mailing Address - Fax:
Practice Address - Street 1:3815 RIVER CROSSING PKWY
Practice Address - Street 2:STE 100 OFFICE 175
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46240-3193
Practice Address - Country:US
Practice Address - Phone:317-765-6200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-11
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care