Provider Demographics
NPI:1356143820
Name:HEALING HEARTZ HEALTHCARE
Entity type:Organization
Organization Name:HEALING HEARTZ HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:MS
Authorized Official - First Name:ARIEL
Authorized Official - Middle Name:SHAIANNE
Authorized Official - Last Name:HEATH
Authorized Official - Suffix:
Authorized Official - Credentials:ADN
Authorized Official - Phone:262-865-7935
Mailing Address - Street 1:1513 GENEVA ST
Mailing Address - Street 2:
Mailing Address - City:RACINE
Mailing Address - State:WI
Mailing Address - Zip Code:53404-2731
Mailing Address - Country:US
Mailing Address - Phone:262-865-7935
Mailing Address - Fax:
Practice Address - Street 1:5715 18TH AVE
Practice Address - Street 2:
Practice Address - City:KENOSHA
Practice Address - State:WI
Practice Address - Zip Code:53140-3929
Practice Address - Country:US
Practice Address - Phone:262-865-7935
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral PracticeGroup - Multi-Specialty